Joe Douglas, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

0417815 Issued in KS

Practice address

200 Maine
Suite a
Lawrence, KS 66044-1368

Phone

(785) 843-9192

Fax

(785) 856-9191

NPI assigned

Jan 30, 2006

Last updated

May 23, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Joseph Douglas Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• New Beginnings Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Topeka, KS
  • NPI 1306820428
  NPD (past)

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527033600000",
    "number": "1194796011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MAINE",
            "address_2": "SUITE A",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660441368",
            "telephone_number": "785-843-9192",
            "fax_number": "785-856-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MAINE",
            "address_2": "SUITE A",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660441368",
            "telephone_number": "785-843-9192",
            "fax_number": "785-856-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "JOE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2018-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KS",
            "license": "0417815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100097940A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSEPH",
            "last_name": "DOUGLAS",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Douglas County Infant Toddler Coordinating Counsil
• Douglas County Senior Services, Inc.
• Douglas County Visiting Nurses Association, Inc.
• Douglas County Visiting Nurses Association, Inc.
• Douglas County Visiting Nurses Association, Inc.
• Haley Downey, PT, DPT
• Sarah Doyle, LSCSW
• Shannon Doyle
• Claudia L Dozier, PH.D., BCBA-D
• Dr G Medical PA (Rainbow Endocrinology)

• Psychiatry Physician in Lawrence, KS
• Providers in Lawrence, KS by specialty
• Psychiatry Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; 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.