DOUGLAS DUFORE PHD - NPI 1174607113 - Psychologist in Old Saybrook, CT

Q: What is Douglas Dufore's NPI number?

The NPI number for Douglas Dufore is 1174607113. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Q: What is Douglas Dufore's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Douglas Dufore was last updated on September 20, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Douglas Dufore Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOUGLAS DUFORE PHD (NPI 1174607113) is an individual clinical provider in Old Saybrook, Connecticut, licensed in Connecticut (002793) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174607113

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDOUGLAS DUFORECredential: PHD

Location Address633 MIDDLESEX TPKE, SUITE 110Old Saybrook, CT 06475-1220

Mailing Address633 Middlesex Tpke, Suite 110Old Saybrook, CT 06475-1220 · (860) 510-0225 · Fax (860) 395-1647

Phone(860) 510-0225

Fax(860) 395-1647

Sole ProprietorYes

Enumeration DateOctober 25, 2006

Last NPPES UpdateSeptember 20, 2013

✔ NPI 1174607113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CT · 002793

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

633 MIDDLESEX TPKE, Old Saybrook, CT 06475

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Douglas Dufore Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06475 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$183.10 typical visit price

range $60.82 – $183.10

Typical copayment $45.77 (range $15.20 – $45.77)

Most-billed visit code 99205

Established Patient

$106.68 typical visit price

range $19.76 – $149.26

Typical copayment $26.67 (range $4.94 – $37.31)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHAD PORTERFIELD

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)