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: August 16, 2026.

About Dr. Fredric Burton Roberts Ed D NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. FREDRIC BURTON ROBERTS ED D (NPI 1619963394) is an individual psychologist in Port Huron, Michigan, licensed in Michigan (6301002615) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1619963394
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. FREDRIC BURTON ROBERTSCredential: ED D
Location Address1025 HURON AVEPort Huron, MI 48060-3763
Mailing Address1025 Huron AvePort Huron, MI 48060-3763 · (810) 984-4550 · Fax (810) 987-3737
Fax(810) 987-3737
Sole ProprietorYes
Enumeration DateSeptember 27, 2005
Last NPPES UpdateJanuary 16, 2015
NPI 1619963394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MI · 6301002615
Definition
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.
1025 HURON AVE, Port Huron, MI 48060

Other Identifiers 3

Medicare ID-Type Unspecified0N35510
Other680G445000Bcbs
Medicare UPINR75753

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Massage Therapist
1025 HURON AVE
PORT HURON, MI 48060
Chiropractor
1025 HURON AVE
PORT HURON, MI 48060
Chiropractor
1025 HURON AVE
PORT HURON, MI 48060
Chiropractor
1025 HURON AVE
PORT HURON, MI 48060
Chiropractor
1025 HURON AVE
PORT HURON, MI 48060
Massage Therapist
1025 HURON AVE
PORT HURON, MI 48060

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fredric Roberts's NPI number?

The NPI number for Fredric Roberts is 1619963394. It was assigned to this individual provider in the NPPES registry on September 27, 2005.

Where is Fredric Roberts located?

Fredric Roberts practices at 1025 Huron Ave, Port Huron, MI 48060. The listed phone number is (810) 984-4550.

What is Fredric Roberts's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Fredric Roberts was last updated on January 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.