Fredric B Roberts Edd PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

FREDRIC B ROBERTS EDD PC

Practice address

2033 11TH Ave
Port Huron, MI 48060-3207

Phone

(810) 984-4550

Fax

(810) 984-3737

NPI assigned

Oct 6, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Fredric B Roberts, EDD

Title

President

Phone

(810) 984-4550

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ann M Arcieri, LMSW

  • Clinical Social Worker
  • Richmond, MI
  • NPI 1083936298
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1223251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223251200000",
    "number": "1578714804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2033 11TH AVE",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603207",
            "telephone_number": "810-984-4550",
            "fax_number": "810-984-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2033 11TH AVE",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603207",
            "telephone_number": "810-984-4550",
            "fax_number": "810-984-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDRIC B ROBERTS EDD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-06",
        "last_updated": "2008-10-06",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "FREDRIC",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-984-4550",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EDD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Quinn Forstner
• Edward Forton
• Amy Fournier, OTRL
• Mary Margaret Francisco
• James Milton Fraser, DDS
• Leopold M Fregoli, MD
• Shelby Lynn Fretenborough
• Carrie Frey
• Regina M Friedmann, MSW, LMSW
• Jordan Frontiero, B.S

• Clinical Psychologist in Port Huron, MI
• Providers in Port Huron, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.