DR. DAWN HEATHER HUBER (PHD) – Clinical Child & Adolescent Psychologist, NPI 1366694937

DR. DAWN HEATHER HUBER (PHD) is a healthcare provider. based in Rogersville, Missouri. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 2008011433 (MO). The NPI Number for DR. DAWN HEATHER HUBER (PHD) is 1366694937

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAWN HEATHER HUBER (PHD)
NPI
1366694937
Phone
(417) 753-1963
Address
175 S MARSHALL ST
Enumeration Date
15 October 2008
Last Update Date
21 May 2024

Doctor Profile

Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Secondary Phone
5738827129
Graduation Year
2007 (19 years ago)
PAC ID
6608052816
Group Practice PAC ID
4486759560
Professional Enrollment ID
I20110523000553
Address ID
MO652120001CO1020XSTXX300

Contacts

Secure Messaging
MUDOCREFERRAL@direct.health.missouri.edu
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness85
Years active:17State licenses:1Other namesUpdated within 12 months

449 CLINICAL PSYCHOLOGIST in MO

Provider Addresses for DR. DAWN HEATHER HUBER (PHD)

  • 175 S MARSHALL ST

    SUITE G

    ROGERSVILLE, MO 657428828

    Phone: (417) 753-1963

    Fax: (417) 753-9405

    Type: Mailing

  • PO BOX 843966

    KANSAS CITY, MO 641843966

    Phone: (573) 884-3300

    Fax: (573) 884-0943

    Type: Mailing

  • 1020 HITT ST

    COLUMBIA, MO 652120001

    Phone: (573) 882-6921

    Fax: (573) 882-1154

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-05-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110523000553IClinical PsychologistMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 65742)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486759560View full group profile
NameSpecialtyState
H E M A T O L O G Y/ O N C O L O G YPA
General SurgeryMO
Family PracticeMO
Psychiatry, NeurologyMO
-MO
-MO
-OH
Family PracticeMO
-WA
Diagnostic RadiologyMO

Reviews

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Frequently asked questions

How is DR. DAWN HEATHER HUBER (PHD) identified in CMS data?
CMS-hosted NPPES data lists DR. DAWN HEATHER HUBER (PHD) with NPI 1366694937.
Is DR. DAWN HEATHER HUBER (PHD) listed as active for patients and plans?
The listing shows DR. DAWN HEATHER HUBER (PHD) as active in the NPI system.
What is DR. DAWN HEATHER HUBER (PHD)'s specialty?
The listing groups DR. DAWN HEATHER HUBER (PHD) with Clinical Child & Adolescent Psychologist. Clinical services aligned with this taxonomy classification.
Where is DR. DAWN HEATHER HUBER (PHD) based?
DR. DAWN HEATHER HUBER (PHD) is tied to Rogersville, Missouri in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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