Jacqueline Dougert

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

12318 Venice Blvd
Los Angeles, CA 90066-3802

Phone

(201) 693-1830

NPI assigned

Sep 16, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Amplified Voices Speech Therapy, Inc.

  • Speech-Language Pathologist
  • Los Angeles, CA
  • NPI 1396572368
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1174350136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3780 OCEAN VIEW AVE APT 10",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900663173",
            "telephone_number": "201-693-1830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12318 VENICE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900663802",
            "telephone_number": "201-693-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGERT",
        "first_name": "JACQUELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberta L. Doucet, MD
• Milton Joseph Doucette III
• Psalms Doucettperry
• Tricia D Doud, PSYD
• Michael Douek, M.D.
• Christina Marie Dougherty, LCSW
• Jacob A Dougherty
• James Alan Doughty, N.P.
• Kimberly Doughty
• Reece Doughty, M.D

• Speech-Language Pathologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.