FREDERICK WARREN UPTON PH.D.
NPI 1992258560
Psychologist - Clinical in Ann Arbor, MI

Active since July 29, 2016Opted out of Medicare · through Nov 7, 2026
635 S MAPLE RD # 2, ANN ARBOR, MI 48103(734) 238-3034 Get Directions Write a Review

NPPES record last updated: October 8, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 8, 2019, May 10, 2018 (2 updates tracked since 2018).

About Frederick Warren Upton Ph.d. NPPES

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

FREDERICK WARREN UPTON PH.D. (NPI 1992258560) is an individual clinical provider in Ann Arbor, Michigan, licensed in Michigan (6301017920) and active in the NPI registry since July 2016. He has opted out of Medicare through November 7, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1992258560
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameFREDERICK WARREN UPTONCredential: PH.D.
Location Address635 S MAPLE RD # 2Ann Arbor, MI 48103
Mailing Address635 S Maple Rd # 2Ann Arbor, MI 48103-3838 · (734) 368-9691
Sole ProprietorNo
Enumeration DateJuly 29, 2016
Last NPPES UpdateOctober 8, 20192 updates tracked since enumeration
NPI 1992258560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in MI · 6301017920
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedPsychologistTaxonomy 103T00000X · License 6301017268 (MI)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 6301015567 (MI)
635 S MAPLE RD # 2, Ann Arbor, MI 48103

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Frederick Warren Upton Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 7, 2024 through November 7, 2026.

Opt-Out Effective DateNovember 7, 2024
Opt-Out In Effect ThroughNovember 7, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 48103 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99205

  • Average New Patient Price $177.36
  • Minimum New Patient Price $58.04
  • Maximum New Patient Price $177.36
  • Average New Patient Copayment $44.34
  • Minimum New Patient Copayment $14.51
  • Maximum New Patient Copayment $44.34

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $102.35
  • Minimum Established Patient Price $18.32
  • Maximum Established Patient Price $143.49
  • Average Established Patient Copayment $25.58
  • Minimum Established Patient Copayment $4.58
  • Maximum Established Patient Copayment $35.87

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992258560, enumerated as an "individual" on July 29, 2016.

The provider is located at 635 S MAPLE RD # 2 ANN ARBOR, MI 48103 and the phone number is (734) 238-3034.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.

The provider might be accepting Accepts: Blue Care Network of Michigan and Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.