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Deactivated NPI 1891831970 Deactivated / Inactive NPI Male Practitioner

Gary Dube

Psychologist - Forensic • Bridgewater, MA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Gary Dube has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 29, 2007
NPI Deactivation Date April 10, 2024
Total Practice Duration ~17 Years of Practice (2007 – 2024)

Professional Overview & Biography Verified Profile Summary

Gary Dube was a registered Psychologist - Forensic practicing in Bridgewater, MA. Throughout an active medical career spanning 17 years, Gary Dube provided care at the practice location at 63 MAIN ST until profile deactivation on 2024-04-10.

Practice Location & Contact Primary Location

Practice Address

63 Main St
Suite 6

Bridgewater, MA 023241455

Telephone 5086972744
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Forensic in Bridgewater, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 30.3 Yrs
Regional Practice Density
12 Specialists

Practicing in Bridgewater, MA (89 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist - Forensic Primary Specialty

NUCC Taxonomy Code: 103TF0200X

State License MA 3710

A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Robert Prentky

Psychologist

NPI 1255477378
NPI 1366588410

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 10, 2024

Record deactivated on April 10, 2024

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 63 MAIN ST, SUITE 6, BRIDGEWATER, MA 023241455 (Tel: 5086972744)

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Updated Business Mailing Address July 08, 2007

Registered at 63 MAIN ST, SUITE 6, BRIDGEWATER, MA 023241455 (Tel: 5086972744)

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Provider Name / Credentials Updated July 08, 2007

Recorded as GARY DUBE

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #3710 in MA)

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Initial NPI Registration & Enumeration January 29, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1891831970
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 29, 2007
Last Update: July 08, 2007
Deactivation Date: April 10, 2024

Mailing Address

63 Main St, Suite 6

Bridgewater, MA 023241455

Phone: 5086972744

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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