DUFORT PSYCHOLOGICAL SERVICES PLLC
NPI 1053822544
Psychologist - Cognitive & Behavioral in Staten Island, NY
About Dufort Psychological Services Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DUFORT PSYCHOLOGICAL SERVICES PLLC (NPI 1053822544) is a healthcare organization registered as a cognitive & behavioral in Staten Island, New York and active in the NPI registry since October 2017. The organization lists Dawson Dufort, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dufort Psychological Services Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Dufort Psychological Services PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Dufort Psychological Services PLLC's NPI number?
The NPI number for Dufort Psychological Services PLLC is 1053822544. It was assigned to this organization in the NPPES registry on October 24, 2017.
Where is Dufort Psychological Services PLLC located?
Dufort Psychological Services PLLC is located at 401 Bloomingdale Rd Suite 6, Staten Island, NY 10309. The listed phone number is (347) 880-2150.
What is Dufort Psychological Services PLLC's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.
Is Dufort Psychological Services PLLC enrolled in Medicare?
Yes. Dufort Psychological Services PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dufort Psychological Services PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Dufort Psychological Services PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Dufort Psychological Services PLLC was last updated on October 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dufort Psychological Services Pllc · NPI 1053822544
Cognitive & Behavioral organization in Staten Island, New York. Organization record, active in the CMS NPPES registry since October 24, 2017.
## Identity
- **NPI:** 1053822544 (Entity type: Organization)
- **Enumerated:** October 24, 2017
- **Primary specialty:** Psychologist - Cognitive & Behavioral · taxonomy 103TB0200X
- **Organization subpart:** No
- **Authorized official:** Dawson Dufort, OWNER
## Practice location
- **Address:** 401 BLOOMINGDALE RD SUITE 6, Staten Island, NY 10309
- **Phone:** (347) 880-2150
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Psychologist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 24, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1053822544) · Data from the CMS NPPES public registry.