Stacy Ann Reuille Dupont, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY.0004577 Issued in CO

Practice address

1305 Escalante Dr # 203
Durango, CO 81303-8931

Phone

(970) 749-8227

NPI assigned

Nov 12, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Clinical Psychologist

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Therapy Collective, LLCGroup PAC ID 3971043464, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Therapy Collective LLC

  • Clinical Psychologist
  • Durango, CO
  • NPI 1487485843
  Medicare reassignment Care Compare group NPD Authorized official
• Stacy Reuille-Dupont, LLC

  • Adult Mental Health Clinic/Center
  • Durango, CO
  • NPI 1740777507
  Medicare reassignment NPD

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

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1851628713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 ESCALANTE DR # 203",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813038931",
            "telephone_number": "970-749-8227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 ESCALANTE DR # 203",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813038931",
            "telephone_number": "970-749-8227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REUILLE DUPONT",
        "first_name": "STACY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-12",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY.0004577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Reed, D.D.S.
• Douglas M Reid, DMD
• Melissa Roseann Reitman, P.T.
• Amanda Blake Rennaker
• Jessica Rensner, CPNP
• Revive Colorado, PC
• Rhizome Counseling LLC
• Joanne Christine Rhodus, SLP, BCBA
• Levi Andrew Rice Jr., D.O.
• Richard a Grossman

• Clinical Psychologist in Durango, CO
• Providers in Durango, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.

Verify at the official NPI Registry.