DR. FREDRIC BURTON ROBERTS ED D
NPI 1619963394
Psychologist in Port Huron, MI

Active since September 27, 2005
1025 HURON AVE, PORT HURON, MI 48060(810) 984-4550(810) 987-3737 Get Directions Write a Review

NPPES record last updated: January 16, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Psychologist

About FREDRIC ROBERTS

This page provides the complete NPI Profile along with additional information for Fredric Roberts, a provider established in Port Huron, Michigan with a medical specialization in Psychologist. The healthcare provider is registered in the NPI registry with number 1619963394 assigned on September 2005. The practitioner's primary taxonomy code is 103T00000X with license number 6301002615 (MI). The provider is registered as an individual and his NPI record was last updated 12 years ago.

NPI
1619963394 Verify this NPI
Provider Name
DR. FREDRIC BURTON ROBERTS ED D
Gender
Male
Entity Type
Individual
Location Address
1025 HURON AVE PORT HURON, MI 48060
Location Phone
(810) 984-4550
Location Fax
(810) 987-3737
Mailing Address
1025 HURON AVE PORT HURON, MI 48060
Mailing Phone
(810) 984-4550
Mailing Fax
(810) 987-3737
Is Sole Proprietor?
Yes
Enumeration Date
09-27-2005
Last Update Date
01-16-2015
Code Navigator

A psychologist like Fredric Roberts studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist

Taxonomy Code
103T00000X
Type
Behavioral Health & Social Service Providers
License No.
6301002615
License State
MI
Taxonomy Description
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0N35510MEDICARE ID-TYPE UNSPECIFIED (04) 
680G445000OTHER (01)BCBS
R75753MEDICARE UPIN (02) 

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Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

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PORT HURON, MI 48060
Chiropractor
1025 HURON AVE
PORT HURON, MI 48060
Massage Therapist
1025 HURON AVE
PORT HURON, MI 48060
Massage Therapist
1025 HURON AVE
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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619963394, enumerated as an "individual" on September 27, 2005.

The provider is located at 1025 HURON AVE PORT HURON, MI 48060 and the phone number is (810) 984-4550.

Psychologist with taxonomy code 103T00000X.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.