Active NPI
Douglas Tim Fitzgerald, PH.D.
- Counseling Psychologist
- Sugar Land, TX
National Provider Identifier
1104062504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 2853
- Practice address
- 19855 Southwest Fwy
Suite 310
Sugar Land, TX 77479-6535 - Phone
- (281) 923-5720
- NPI assigned
- Jan 6, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 2853 | TX | Primary |
Addresses
Primary practice location
19855 Southwest Fwy
Suite 310
Sugar Land, TX 77479-6535
Mailing address
19855 Southwest Fwy
Suite 310
Sugar Land, TX 77479-6535
Phone (281) 923-5720
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2853 | TX | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231200000000",
"number": "1104062504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19855 SOUTHWEST FWY",
"address_2": "SUITE 310",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774796535",
"telephone_number": "281-923-5720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19855 SOUTHWEST FWY",
"address_2": "SUITE 310",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774796535",
"telephone_number": "281-923-5720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZGERALD",
"first_name": "DOUGLAS",
"middle_name": "TIM",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-01-06",
"last_updated": "2009-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "TX",
"license": "2853",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sugar Land, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.