Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619963394 Individual Practitioner Male Practitioner

Dr. Fredric Burton Roberts , EdD

Psychologist • Port Huron, MI

Professional Overview & Biography Verified Profile Summary

Dr. Fredric Roberts, EdD is a registered healthcare professional specializing in Psychologist in Port Huron, MI. Practice services are available at 1025 HURON AVE under active NPI credentials.

Frequently performed procedures and clinical services include psychotherapy, psychiatric diagnostic evaluation. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1025 Huron Ave

Port Huron, MI 480603763

Telephone 8109844550
Fax 8109873737
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Port Huron, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.4 Yrs
Regional Practice Density
7 Specialists

Practicing in Port Huron, MI (2669 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
29.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90834 Psychotherapy, 45 minutes
65 11 $125.00 $88.50

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License MI 6301002615

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bcbs
680G445000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Alexis Walker

Massage Therapist

NPI 1447958368
NPI 1639476427

Doctor of Chiropractic, Bachelor of Science in Nursing

NPI 1659938447

Doctor of Chiropractic

Alyssa Lyon

Chiropractor

NPI 1932043213
Alisha Trice , LMT

Massage Therapist

NPI 1942908934

Licensed Massage Therapist

NPI 1982875225

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 16, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location January 16, 2015

Registered at 1025 HURON AVE, PORT HURON, MI 480603763 (Tel: 8109844550)

📍
Updated Business Mailing Address January 16, 2015

Registered at 1025 HURON AVE, PORT HURON, MI 480603763 (Tel: 8109844550)

👤
Provider Name / Credentials Updated January 16, 2015

Recorded as FREDRIC ROBERTS, ED D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 16, 2015

Psychologist (License #6301002615 in MI)

🟢
Initial NPI Registration & Enumeration September 27, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619963394
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 27, 2005
Last Update: January 16, 2015
Sole Proprietor: Yes

Mailing Address

1025 Huron Ave

Port Huron, MI 480603763

Phone: 8109844550

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.