Individual provider Active NPI

Albert F Dupree, PH.D.

  • Psychologist
  • Festus, MO
National Provider Identifier
1801973268
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2001010840 Issued in MO
Practice address
807 Collins Dr
Festus, MO 63028-2346
Phone
(636) 931-4206
Fax
(636) 931-5774
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2001010840 MO Primary
Psychologist 103T00000X 33404 TX

Addresses

Primary practice location

807 Collins Dr
Festus, MO 63028-2346

Mailing address

1933 Arsenal St
Saint Louis, MO 63118-2502
Phone (314) 258-3984

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidMO

Other names 1

  • Al Dupree Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070201000545 TX Practitioner - Clinical Psychologist 7911909155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Ludden Group PCGroup PAC ID 6507000726, 5 clinicians

Practice addresses (Care Compare)

935 W Ralph Hall Pkwy
Suite 105
Rockwall, TX 75032-8707
Phone (972) 772-8484

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Ludden Group, P.C. CurrentSince Nov 13, 2018 Accepting new patients
Advanced Psychiatric Services Past Accepting new patients
Advanced Psychiatric Services Inc PastSince Jun 16, 2014 Accepting new patients
Lattie Psychological Associates PLLC PastSince Nov 13, 2018 Accepting new patients

Locations

935 W Ralph Hall Pkwy
Ste 105
Rockwall, TX 75032
Phone (972) 742-7679

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801973268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1933 ARSENAL ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631182502",
            "telephone_number": "314-258-3984",
            "fax_number": "314-773-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 COLLINS DR",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630282346",
            "telephone_number": "636-931-4206",
            "fax_number": "636-931-5774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPREE",
        "first_name": "ALBERT",
        "middle_name": "F",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MO",
            "license": "2001010840",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "33404",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AL",
            "last_name": "DUPREE",
            "credential": "PH.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Festus, MO

Sources for this page

Verify at the official NPI Registry.