Active NPI
Kristin Renee Tubre, PSY.D.
- Clinical Psychologist
- Maxwell AFB, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1525
- Practice address
- 300 Twining St BLDG 760
Maxwell AFB, AL 36112-6027 - Phone
- (334) 953-3368
- NPI assigned
- Nov 25, 2008
- Last updated
- Jul 21, 2022
- 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 | 1525 | AL | Primary |
Addresses
Primary practice location
300 Twining St BLDG 760
Maxwell AFB, AL 36112-6027
Mailing address
1736 Taliaferro TRL
Montgomery, AL 36117-7759
Phone (334) 306-7471
Other practice location 1
215 Perry Hill Rd
Montgomery, AL 36109-3725
Phone (334) 272-4670 ext. 4288
Other practice location 2
4465 Narrow Lane Rd
Montgomery, AL 36116-2953
Phone (334) 306-7471
Other practice location 3
1736 Taliaferro Trl
Montgomery, AL 36117-7759
Phone (334) 306-7471
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alabama Psychology, Inc | Clinical | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Psychologist
- Tallassee, AL
- NPI 1992997878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1275788754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1736 TALIAFERRO TRL",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361177759",
"telephone_number": "334-306-7471",
"fax_number": "334-478-3952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 TWINING ST BLDG 760",
"city": "MAXWELL AFB",
"state": "AL",
"postal_code": "361126027",
"telephone_number": "334-953-3368"
}
],
"practiceLocations": [
{
"address_1": "215 Perry Hill Rd",
"address_purpose": "LOCATION",
"city": "Montgomery",
"state": "AL",
"postal_code": "361093725",
"country_code": "US",
"telephone_number": "334-272-4670 x4288",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4465 Narrow Lane Rd",
"address_purpose": "LOCATION",
"city": "Montgomery",
"state": "AL",
"postal_code": "361162953",
"country_code": "US",
"telephone_number": "334-306-7471",
"fax_number": "334-478-3952",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1736 Taliaferro Trl",
"address_purpose": "LOCATION",
"city": "Montgomery",
"state": "AL",
"postal_code": "361177759",
"country_code": "US",
"telephone_number": "334-306-7471",
"fax_number": "334-478-3952",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TUBRE",
"first_name": "KRISTIN",
"middle_name": "RENEE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-25",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AL",
"license": "1525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maxwell AFB, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.