Shandel Douglas, APN
Nurse Practitioner, Psych/Mental Health in River Edge, New Jersey
1649798455- Practice location
- 887 Kinderkamack RD, River Edge, NJ 07661-2307
- Phone
- 201-464-0860
- Fax
- —
- Last updated
- December 31, 2025
Shandel Douglas is a Nurse Practitioner, Psych/Mental Health based in River Edge, NJ. Shandel Douglas practices in River Edge, NJ and has the professional credentials of APN. The NPI Number for Shandel Douglas is 1649798455 and holds a License No. 26NJ00747600 (NJ). The current practice location address for Shandel Douglas is 887 Kinderkamack RD, River Edge, NJ 07661-2307 and can be reached out via phone at 201-464-0860.
Provider Profile Details
- NPI Number
- 1649798455
- Provider Name
- Shandel Douglas
- Credential
- APN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 887 Kinderkamack RD, River Edge, NJ 07661-2307
- Phone Number
- 201-464-0860
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 31, 2017
- Last Update Date
- December 31, 2025
- Certification Date
- December 31, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 887 Kinderkamack RD
River Edge, NJ 07661-2307 - City
- River Edge
- State
- New Jersey
- Zip
- 07661-2307
- Phone Number
- 201-464-0860
Provider Business Mailing Address Details
- Address
- 887 Kinderkamack RD
River Edge, NJ 07661-2307 - City
- River Edge
- State
- NJ
- Zip
- 07661-2307
- Phone Number
- 201-464-0860
License Information
- License Number (1)
- 26NJ00747600
- License State (1)
- NJ
- Taxonomy (1)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
- License Number (2)
- 26NJ00747600
- License State (2)
- NJ
- Taxonomy (2)
- Nurse Practitioner, Primary Care · 363LP2300X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Psych/Mental Health providers near River Edge, NJ
View all Nurse Practitioner, Psych/Mental Health providers in River Edge →- Caroline W Wiltshire, APNNurse Practitioner, Psych/Mental Health · NPI 1508608746
- Daniel A Rector, RNNurse Practitioner, Psych/Mental Health · NPI 1134957806
- Joshua B MasarofNurse Practitioner, Psych/Mental Health · NPI 1386557122
- Mireya Pazmino, APNNurse Practitioner, Psych/Mental Health · NPI 1205767829
Frequently Asked Questions
What is the NPI number of Shandel Douglas, APN?
The NPI number of Shandel Douglas, APN is 1649798455. It was assigned on August 31, 2017 and is currently active in the NPPES registry.
What is the specialty of Shandel Douglas, APN?
Shandel Douglas, APN is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NJ under license number 26NJ00747600.
Where does Shandel Douglas, APN practice?
The practice location is 887 Kinderkamack RD, River Edge, NJ 07661-2307. The office can be reached at 201-464-0860 (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 1649798455 directly on the NPPES registry website.