Active NPIIndividual providerSole proprietor

Dr. Esme M Douglas, DNP, PMHNP-BC

Nurse Practitioner, Psych/Mental Health in Port Chester, New York

NPI Number1003642836
Practice location
21 Willett Ave Apt 212, Port Chester, NY 10573-4355
Fax
—
Last updated
September 24, 2025

Esme Marguerite Douglas is a Nurse Practitioner, Psych/Mental Health based in Port Chester, NY. Esme Marguerite Douglas practices in Port Chester, NY and has the professional credentials of DNP, PMHNP-BC. The NPI Number for Esme Marguerite Douglas is 1003642836 and holds a License No. 857544-01 (NY). The current practice location address for Esme Marguerite Douglas is 21 Willett Ave Apt 212, Port Chester, NY 10573-4355 and can be reached out via phone at 914-552-7502.

Provider Profile Details

NPI Number
1003642836
Provider Name
Esme Marguerite Douglas
Credential
DNP, PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
21 Willett Ave Apt 212, Port Chester, NY 10573-4355
Phone Number
914-552-7502
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
Yes
Provider Enumeration Date
September 9, 2024
Last Update Date
September 24, 2025
Certification Date
September 24, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
21 Willett Ave Apt 212
Port Chester, NY 10573-4355
Zip
10573-4355
Phone Number
914-552-7502
Port Chester, NY 10573Get directions →

Provider Business Mailing Address Details

Address
21 Willett Ave Apt 212
Port Chester, NY 10573-4355
City
Port Chester
State
NY
Zip
10573-4355
Phone Number
914-552-7502

License Information

License Number (1)
857544-01
License State (1)
NY
Taxonomy (1)
Registered Nurse, Psych/Mental Health · 163WP0808X
License Number (2)
F406319-01
License State (2)
NY
Taxonomy (2)
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Nurse Practitioner, Psych/Mental Health providers near Port Chester, NY

View all Nurse Practitioner, Psych/Mental Health providers in Port Chester →

Frequently Asked Questions

What is the NPI number of Dr. Esme M Douglas, DNP, PMHNP-BC?

The NPI number of Dr. Esme M Douglas, DNP, PMHNP-BC is 1003642836. It was assigned on September 9, 2024 and is currently active in the NPPES registry.

What is the specialty of Dr. Esme M Douglas, DNP, PMHNP-BC?

Dr. Esme M Douglas, DNP, PMHNP-BC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NY under license number 857544-01.

Where does Dr. Esme M Douglas, DNP, PMHNP-BC practice?

The practice location is 21 Willett Ave Apt 212, Port Chester, NY 10573-4355. The office can be reached at 914-552-7502 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003642836 directly on the NPPES registry website.

Browse related providers