Individual provider Active NPI

Kristin Renee Tubre, PSY.D.

  • Clinical Psychologist
  • Maxwell AFB, AL
National Provider Identifier
1275788754
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1525 Issued in AL
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.