Sara B Dupuis PHD PC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301014845 Issued in MI

Legal business name

SARA B DUPUIS PHD PC

Practice address

1905 Abbot Rd
Ste 1
East Lansing, MI 48823-8571

Phone

(517) 944-4232

Fax

(517) 323-9531

NPI assigned

Oct 30, 2013

Organization subpart

No

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

Authorized official

Name

Cathy S Gallegos

Title

Manager Billing

Phone

(517) 483-2461

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

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

• Sara Beth Dupuis, LP, LMFT

  • Clinical Psychologist
  • East Lansing, MI
  • NPI 1659518629
  Medicare reassignment
• Shelley Bea Smithson, PH.D., M.S.W.

  • Clinical Psychologist
  • East Lansing, MI
  • NPI 1053532614
  NPD (past)

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

{
    "created_epoch": "1383091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384819200000",
    "number": "1104254051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 ABBOT RD",
            "address_2": "STE 1",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238571",
            "telephone_number": "517-944-4232",
            "fax_number": "517-323-9531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 ABBOT RD",
            "address_2": "STE 1",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238571",
            "telephone_number": "517-944-4232",
            "fax_number": "517-323-9531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARA B DUPUIS PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-30",
        "last_updated": "2013-11-19",
        "status": "A",
        "authorized_official_last_name": "GALLEGOS",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGER BILLING",
        "authorized_official_telephone_number": "517-483-2461"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301014845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Sangret, PSY.D
• Ritika Sai Sanikommu, DDS
• Joseph Santangelo
• Ronel Natividad Santos, MD
• Mansoor Saqib, DO
• Jay Michael Graham Sartor, NP
• Adrienne Sato, ARDMS
• Ahsan Sattar, M.D.
• John A Sauchak, DO
• Savage Rose Counseling and Consulting

• Psychologist in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; 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.