Anne Perette Dubuisson, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

013536-01 Issued in NY

Practice address

Rockland Children's Psychiatric
2 First Ave
Orangeburg, NY 10962

Phone

(845) 680-4000

NPI assigned

Nov 16, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1700092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1154196541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3017 WICKHAM AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104693217",
            "telephone_number": "347-907-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROCKLAND CHILDREN'S PSYCHIATRIC",
            "address_2": "2 FIRST AVE",
            "city": "ORANGEBURG",
            "state": "NY",
            "postal_code": "10962",
            "telephone_number": "845-680-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBUISSON",
        "first_name": "ANNE",
        "middle_name": "PERETTE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-16",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NY",
            "license": "013536-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alice Diku, M.D.
• Linda Catherine Donovan
• Robert I Dorman, M.D.
• Lenda Dorvilus, RN
• Cassandra Douyon
• Jocelyn A Ebol, RN
• Beatrice Echefu
• Jayne Eckley, MA
• Marlene Edmond
• Kochuthresia Emmanuel, RN

• Psychologist in Orangeburg, NY
• Providers in Orangeburg, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.