Catherine Suzanne Dubaillou, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS018182 Issued in PA

Practice address

3201 Chestnut St FL Hall2
Philadelphia, PA 19104-3370

Phone

(215) 553-7500

NPI assigned

May 26, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Drexel University

  • Clinical Psychologist
  • Philadelphia, PA
  • NPI 1447748801

  Clinical

  NPD (past)
• Drexel University

  • Maternal & Fetal Medicine Physician
  • Philadelphia, PA
  • NPI 1629005152
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1447825864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 CHESTNUT ST FL HALL2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 CHESTNUT ST FL HALL2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043370",
            "telephone_number": "215-553-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBAILLOU",
        "first_name": "CATHERINE",
        "middle_name": "SUZANNE",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-26",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS018182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yang Du
• Yun Ke Du
• Leilei Duan, MSW
• Rafael Santos Duarte, MD
• Mae Duba, DC
• Melanie Dubard, PH.D.
• Abraham Samuel Dubb, MD
• Austin Rockwell Dubble
• Holly Dubbs, LCGC
• Jenna Dubbs, PSY.D.

• All providers in Philadelphia, PA
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; 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.