Dufort Psychological Services PLLC

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

Legal business name

DUFORT PSYCHOLOGICAL SERVICES PLLC

Practice address

401 Bloomingdale Rd Suite 6
Staten Island, NY 10309

Phone

(347) 880-2150

NPI assigned

Oct 24, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Dawson Dufort, PHDNPI 1316286800

Title

Owner

Phone

(347) 880-2150

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Dawson D Dufort, PH.D

  • Clinical Psychologist
  • Staten Island, NY
  • NPI 1316286800
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508803200000",
    "number": "1053822544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 BLOOMINGDALE RD STE 6",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103092070",
            "telephone_number": "347-880-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 BLOOMINGDALE RD SUITE 6",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10309",
            "telephone_number": "347-880-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUFORT PSYCHOLOGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-24",
        "last_updated": "2017-10-24",
        "status": "A",
        "authorized_official_last_name": "DUFORT",
        "authorized_official_first_name": "DAWSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-880-2150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudette V. Duff, L.C.S.W.
• Maria Lucy Duff, D.D.S.
• Michael P Duff, M.D.
• Deborah Duffy, RN, BSN
• Joanne Duffy
• Dawson D Dufort, PH.D
• Jana Mireille Dufort, MS
• Dugan Hills Dental PLLC (dental office)
• Victoria Dugay
• Gelsomine Duggan

• Cognitive & Behavioral Psychologist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Cognitive & Behavioral Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.