Nicole Douglas, PSYD
Psychologist, Clinical in Somerville, Massachusetts
1336695303- Practice location
- 40 Holland St, Somerville, MA 02144-2705
- Phone
- 617-629-6180
- Fax
- 617-629-6041
- Last updated
- August 19, 2019
Nicole Douglas is a Psychologist, Clinical based in Somerville, MA. Nicole Douglas practices in Somerville, MA and has the professional credentials of PSYD. The NPI Number for Nicole Douglas is 1336695303 and holds a License No. 11116 (MA). The current practice location address for Nicole Douglas is 40 Holland St, Somerville, MA 02144-2705 and can be reached out via phone at 617-629-6180 and via fax at 617-629-6041.
Provider Profile Details
- NPI Number
- 1336695303
- Provider Name
- Nicole Douglas
- Credential
- PSYD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 40 Holland St, Somerville, MA 02144-2705
- Phone Number
- 617-629-6180
- Fax Number
- 617-629-6041
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 30, 2016
- Last Update Date
- August 19, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 40 Holland St
Somerville, MA 02144-2705 - City
- Somerville
- State
- Massachusetts
- Zip
- 02144-2705
- Phone Number
- 617-629-6180
- Fax Number
- 617-629-6041
Provider Business Mailing Address Details
- Address
- 40 Holland St
Somerville, MA 02144-2705 - City
- Somerville
- State
- MA
- Zip
- 02144-2705
- Phone Number
- 176-629-6180
- Fax Number
- 617-629-6041
License Information
- Taxonomy (1)
- Counselor, Mental Health · 101YM0800X
- Taxonomy (2)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (3)
- 11116
- License State (3)
- MA
- Taxonomy (3)
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Nicole Douglas, PSYD?
The NPI number of Nicole Douglas, PSYD is 1336695303. It was assigned on August 30, 2016 and is currently active in the NPPES registry.
What is the specialty of Nicole Douglas, PSYD?
Nicole Douglas, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 11116.
Where does Nicole Douglas, PSYD practice?
The practice location is 40 Holland St, Somerville, MA 02144-2705. The office can be reached at 617-629-6180 (phone) or 617-629-6041 (fax).
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 1336695303 directly on the NPPES registry website.