Active NPI
Maria Y. Dubois, NP
- Psychiatric/Mental Health Nurse Practitioner
- Woodstock, NY
National Provider Identifier
1386755650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- F401094-1
- Practice address
- 15 Pine Grove St
Woodstock Psychiatric Adjunctive Services
Woodstock, NY 12498-1507 - Phone
- (845) 679-6678
- Fax
- (845) 679-0324
- NPI assigned
- Aug 31, 2006
- Last updated
- Nov 20, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F332596 | NY | |
| Family Nurse Practitioner | 363LF0000X | F332596 | NY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F401094-1 | NY | Primary |
Addresses
Primary practice location
15 Pine Grove St
Woodstock Psychiatric Adjunctive Services
Woodstock, NY 12498-1507
Mailing address
75 Red Maple Rd
Saugerties, NY 12477-9327
Phone (914) 388-6221
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00473038 | Medicaid | NY | |
| 02226424 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110111000057 | NY | Practitioner - Nurse Practitioner | 6204025034 | Practice locations: Woodstock, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
15 Pine Grove St
Woodstock, NY 12498-1507
Phone (845) 679-6678
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 332596 | NY | MD | Obstetrics & Gynecology Physician |
| F332596 | NY | MD | Family Nurse Practitioner |
| F401094-1 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574208000000",
"number": "1386755650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 RED MAPLE RD",
"city": "SAUGERTIES",
"state": "NY",
"postal_code": "124779327",
"telephone_number": "914-388-6221",
"fax_number": "845-679-0324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 PINE GROVE ST",
"address_2": "WOODSTOCK PSYCHIATRIC ADJUNCTIVE SERVICES",
"city": "WOODSTOCK",
"state": "NY",
"postal_code": "124981507",
"telephone_number": "845-679-6678",
"fax_number": "845-679-0324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBOIS",
"first_name": "MARIA",
"middle_name": "Y.",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2019-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "F332596",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F332596",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "F401094-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00473038",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02226424",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodstock, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.