PRIVATE DIAGNOSTIC CLINIC, PLLC
NPI 1649757568
Psychologist in Durham, NC

Active since July 24, 2018
40 DUKE MEDICINE CIR, DURHAM, NC 27710(919) 620-4700 Get Directions Write a Review

NPPES record last updated: July 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 11, 2022, Jul 24, 2018 (2 updates tracked since 2018).

About Private Diagnostic Clinic, Pllc NPPES

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

PRIVATE DIAGNOSTIC CLINIC, PLLC (NPI 1649757568) is a healthcare organization registered as a psychologist in Durham, North Carolina and active in the NPI registry since July 2018. The organization lists Christopher Thomas Frederick, Cfo, as its authorized official.

NPPES Registry Identity

NPI1649757568
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NamePRIVATE DIAGNOSTIC CLINIC, PLLC
Location Address40 DUKE MEDICINE CIRDurham, NC 27710-4000
Mailing AddressPo Box 110566Durham, NC 27709-5566 · (919) 620-4855 · Fax (919) 620-4921
Organization SubpartYes
Authorized OfficialChristopher Thomas FrederickCfo · (919) 613-7762
Enumeration DateJuly 24, 2018
Last NPPES UpdateJuly 11, 20222 updates tracked since enumeration
NPPES CertifiedJuly 11, 2022
NPI 1649757568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
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.
40 DUKE MEDICINE CIR, Durham, NC 27710

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 20

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

Internal Medicine
40 DUKE MEDICINE CIR
DURHAM, NC 27710
Internal Medicine (Cardiovascular Disease)
40 DUKE MEDICINE CIR
DURHAM, NC 27710
Physician Assistant
40 DUKE MEDICINE CIR
DURHAM, NC 27710
Internal Medicine
40 DUKE MEDICINE CIR
DURHAM, NC 27710
Internal Medicine (Pulmonary Disease)
40 DUKE MEDICINE CIR
DURHAM, NC 27710
Speech-Language Pathologist
40 DUKE MEDICINE CIR, CLINIC 1I
DURHAM, NC 27710
Internal Medicine (Gastroenterology)
40 DUKE MEDICINE CIR, DUKE CLINIC 2H
DURHAM, NC 27710
Student in an Organized Health Care Education/Training Program
40 DUKE MEDICINE CIR
DURHAM, NC 27710

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 Private Diagnostic Clinic, PLLC's NPI number?

The NPI number for Private Diagnostic Clinic, PLLC is 1649757568. It was assigned to this organization in the NPPES registry on July 24, 2018.

Where is Private Diagnostic Clinic, PLLC located?

Private Diagnostic Clinic, PLLC is located at 40 Duke Medicine Cir, Durham, NC 27710. The listed phone number is (919) 620-4700.

What is Private Diagnostic Clinic, PLLC's specialty?

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

What insurance does Private Diagnostic Clinic, PLLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and Ambetter of Tennessee list Private Diagnostic Clinic, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Private Diagnostic Clinic, PLLC was last updated on July 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.