Individual provider Active NPI

Joseph Dube, DO

  • Psychiatry Physician
  • Lapeer, MI
National Provider Identifier
1700402492
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
5101027794 Issued in MI
Practice address
1375 N Main St
Lapeer, MI 48446-1350
Phone
(810) 667-5500
NPI assigned
Jun 18, 2020
Last updated
Jul 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 5101027794 MI Primary

Addresses

Primary practice location

1375 N Main St
Lapeer, MI 48446-1350

Mailing address

503 Bloomfield Blvd
Jackson, MI 49203-4057
Phone (734) 578-2421

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240909001276 MI Practitioner - Psychiatry 1759704596 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Michigan State University College of Osteopathic Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren Lapeer RegionGroup PAC ID 8123000544, 36 clinicians

Practice addresses (Care Compare)

1200 Barry Dr
Lapeer, MI 48446-3661
Phone (810) 664-4531

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.08
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Lapeer Region CurrentSince Oct 1, 2024 Accepting new patients
McLaren Lapeer Region Current Accepting new patients
McLaren Lapeer Region CurrentSince Oct 1, 2024 Accepting new patients
McLaren Lapeer Region PastSince Oct 1, 2024 Accepting new patients
McLaren Lapeer Region Past Accepting new patients

Locations

1200 Barry Dr
Lapeer, MI 48446
Phone (810) 664-4532

1200 Barry Dr
Ofc
Lapeer, MI 48446
Phone (810) 664-4531

1254 N Main St
Lapeer, MI 48446
Phone (810) 664-4531

1375 N Main St
Lapeer, MI 48446
Phone (810) 667-5500

809 W Dryden Rd
Metamora, MI 48455
Phone (810) 678-4000

Interoperability endpoints

  • Direct secure messaging: jdube548192@direct.hfhs.org

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1700402492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 BLOOMFIELD BLVD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492034057",
            "telephone_number": "734-578-2421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 N MAIN ST",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484461350",
            "telephone_number": "810-667-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBE",
        "first_name": "JOSEPH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-18",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "5101027794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lapeer, MI

Sources for this page

Verify at the official NPI Registry.