Active NPI
Albert F Dupree, PH.D.
- Psychologist
- Festus, MO
National Provider Identifier
1801973268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2001010840
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | MO |
Other names 1
- Al Dupree
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PC
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Ludden Group, P.C. | Current | Accepting new patients | |
| Advanced Psychiatric Services | Past | Accepting new patients | |
| Advanced Psychiatric Services Inc | Past | Accepting new patients | |
| Lattie Psychological Associates PLLC | Past | 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.
-
- Psychiatry Physician
- Sullivan, MO
- NPI 1457303877
-
- Psychiatry Physician
- Festus, MO
- NPI 1154372464
-
- Clinical Psychologist
- Rockwall, TX
- NPI 1417387739
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.