Active NPI
Gerald Robert Duprez, PH.D.
- Clinical Psychologist
- Rancho Cucamonga, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 12020
- Practice address
- 8253 White Oak Ave
Rancho Cucamonga, CA 91730-7671 - Phone
- (909) 987-1997
- Fax
- (909) 987-0993
- NPI assigned
- Jan 20, 2006
- Last updated
- Dec 20, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 12020 | CA | Primary |
Addresses
Primary practice location
8253 White Oak Ave
Rancho Cucamonga, CA 91730-7671
Mailing address
8253 White Oak Ave
Rancho Cucamonga, CA 91730-7671
Phone (909) 987-1997
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| High Desert Psychological Services | Current | Accepting new patients | |
| Coast to Coast Psychological Services | Clinical | Past | Accepting new patients |
Locations
8253 White Oak Ave
Rch Cucamonga, CA 91730
Phone (909) 987-1997
3610 Central Ave
Ste 500
Riverside, CA 92506
Phone (442) 327-9311
14390 Park Ave
Victorville, CA 92392
Phone (442) 327-9311
15497 W Sand St
Victorville, CA 92392
Phone (442) 327-9311
Organizations & group practices 3
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.
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- Victorville, CA
- NPI 1073151015
-
- Psychologist
- Victorville, CA
- NPI 1104463371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576800000000",
"number": "1760462105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8253 WHITE OAK AVE",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917307671",
"telephone_number": "909-987-1997",
"fax_number": "909-987-0993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8253 WHITE OAK AVE",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917307671",
"telephone_number": "909-987-1997",
"fax_number": "909-987-0993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUPREZ",
"first_name": "GERALD",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-20",
"last_updated": "2019-12-20",
"certification_date": "2019-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "12020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.