Active NPI
Alethia Dupont
- Clinical Psychologist
- Palm City, FL
National Provider Identifier
1255960753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY11535
- Practice address
- 3577 SW Corporate Pkwy
Palm City, FL 34990-8153 - Phone
- (772) 220-3439
- NPI assigned
- Apr 6, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY11535 | FL | Primary |
Addresses
Primary practice location
3577 SW Corporate Pkwy
Palm City, FL 34990-8153
Mailing address
3577 SW Corporate Pkwy
Palm City, FL 34990-8153
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY11535 | FL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Diagnostic Assessments & Psychotherapy, Inc. | Clinical | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Fort Pierce, FL
- NPI 1952011264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669852800000",
"number": "1255960753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3577 SW CORPORATE PKWY",
"city": "PALM CITY",
"state": "FL",
"postal_code": "349908153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3577 SW CORPORATE PKWY",
"city": "PALM CITY",
"state": "FL",
"postal_code": "349908153",
"telephone_number": "772-220-3439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUPONT",
"first_name": "ALETHIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-06",
"last_updated": "2022-12-01",
"certification_date": "2022-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY11535",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.