Active NPI
Kelli Ann Dube
- School Psychologist
- Greenfield, NH
National Provider Identifier
1295119345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 113197
- Practice address
- 1 Verney Drive
Greenfield, NH 03047 - Phone
- (603) 547-3311
- NPI assigned
- Jul 17, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 113197 | NH | Primary |
Addresses
Primary practice location
1 Verney Drive
Greenfield, NH 03047
Mailing address
1 Verney Drive
Greenfield, NH 03047
Phone (603) 547-3311
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 |
|---|---|---|---|
| 113197 | NH | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437091200000",
"number": "1295119345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 VERNEY DRIVE",
"city": "GREENFIELD",
"state": "NH",
"postal_code": "03047",
"telephone_number": "603-547-3311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 VERNEY DRIVE",
"city": "GREENFIELD",
"state": "NH",
"postal_code": "03047",
"telephone_number": "603-547-3311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBE",
"first_name": "KELLI",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-17",
"last_updated": "2015-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NH",
"license": "113197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenfield, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.