Individual provider Active NPI

Amilie Marie Dubois, PSY. D.

  • Psychologist
  • Vero Beach, FL
National Provider Identifier
1205177458
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY9452 Issued in FL
Practice address
71 52ND SQ
Vero Beach, FL 32968-2502
Phone
(312) 929-7504
NPI assigned
Mar 13, 2013
Last updated
Jun 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY0756 NV
Psychologist 103T00000X PY9452 FL Primary

Addresses

Primary practice location

71 52ND SQ
Vero Beach, FL 32968-2502

Mailing address

71 52ND SQ
Vero Beach, FL 32968-2502
Phone (312) 929-7504

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160108000998 FL Practitioner - Clinical Psychologist 5193027043 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

71 52ND SQ
Vero Beach, FL 32968-2502
Phone (772) 708-0449

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY9452FLMDPsychologist
PY0756NVMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Amilie M. Dubois, Psy.D., LLC CurrentSince Apr 5, 2023 Accepting new patients
Pro Performance Physical Therapy LLC PastSince Jun 26, 2019 Accepting new patients
Transformative Healthcare Solutions East LLC PastSince Jan 8, 2018 Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1205177458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 52ND SQ",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329682502",
            "telephone_number": "312-929-7504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 52ND SQ",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329682502",
            "telephone_number": "312-929-7504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBOIS",
        "first_name": "AMILIE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PSY. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-13",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NV",
            "license": "PY0756",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY9452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.