Private Diagnostic Clinic, PLLC
NPI 1376093591ActiveOrganization· Psychologist· Durham, NC
Psychologist in Durham, North Carolina, registered in NPPES in October 2016. The authorized official on file is Christopher T. Frederick, Cfo.
Overview
| NPI | 1376093591 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 12, 2016 |
| Last updated in NPPES | May 18, 2022 |
| Certified by provider | May 18, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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