EMILY M FREDERICKS PHD NPI 1033225420

NPI Information

  • NPI: 1033225420
  • Provider Name: EMILY M FREDERICKS, PHD
  • Classification: Psychologist - 103TC2200X
  • Specialization: Clinical Child & Adolescent
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1500 E MEDICAL CENTER DR
    ANN ARBOR, MI
    ZIP 48109
  • Phone: (734) 936-4000

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NPI Details

Emily M Fredericks, PHD is a clinical child and adolescent psychologist in Ann Arbor, MI with 20 years of experience. The provider is a psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents. Emily M Fredericks, PHD NPI is 1033225420. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1500 E MEDICAL CENTER DR
ANN ARBOR, MI
ZIP 48109-000
Phone: (734) 936-4000

The NPI 1033225420 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 8/21/2006 and was last updated on 10/19/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC0700XPsychologistClinical6301012365MICHIGANNo
2103TC2200XPsychologistClinical Child & Adolescent6301012365MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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