Active NPI
Advanced Diagnostic Assessments & Psychotherapy, Inc.
- Clinical Psychologist
- Fort Pierce, FL
National Provider Identifier
1952011264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- ADVANCED DIAGNOSTIC ASSESSMENTS & PSYCHOTHERAPY, INC.
- Practice address
- 130 S Indian River Dr Ste 202
Fort Pierce, FL 34950-4353 - Phone
- (772) 324-9615
- NPI assigned
- Nov 28, 2022
- Last updated
- Jan 31, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Alethia Dupont, PSY. D.
- Title
- Ceo/Director/Owner
- Phone
- (772) 324-9615
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | |||
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
130 S Indian River Dr Ste 202
Fort Pierce, FL 34950-4353
Mailing address
130 S Indian River Dr Ste 202
Fort Pierce, FL 34950-4353
Phone (772) 324-9615
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Psychologist
- Palm City, FL
- NPI 1255960753
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669593600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675123200000",
"number": "1952011264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 S INDIAN RIVER DR STE 202",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349504353",
"telephone_number": "772-324-9615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 S INDIAN RIVER DR STE 202",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349504353",
"telephone_number": "772-324-9615"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED DIAGNOSTIC ASSESSMENTS & PSYCHOTHERAPY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-28",
"last_updated": "2023-01-31",
"certification_date": "2023-01-31",
"status": "A",
"authorized_official_last_name": "DUPONT",
"authorized_official_first_name": "ALETHIA",
"authorized_official_title_or_position": "CEO/DIRECTOR/OWNER",
"authorized_official_telephone_number": "772-324-9615",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY. D."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Pierce, FL
- Michael Adu-Tutu, DDS
- Advanced Care Emergi-Center & Occupational Health Clinic Inc (Darshan N. Shah, M.D.)
- Advanced Care Pain Management Center, Inc.
- Advanced Care Pediatrics of Florida, LLC (Angels of Care Pediatric Home Health)
- Advanced Care Pediatrics of Florida, LLC (Angels of Care Pediatric Home Health)
- Advanced Medical Practice LLC
- Advanced Physical Therapy & Rehab, Inc.
- Advantage Infinity Health LLC
- Advent Prestige Care LLC
- Adventus Laboratory Solutions LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.