Mirlene Douge

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

1686 Putney Rd
Valley Stream, NY 11580-1820

Phone

(516) 341-8289

NPI assigned

Mar 11, 2020

Last updated

Mar 11, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1205461142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1686 PUTNEY RD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115801820",
            "telephone_number": "516-341-8289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1686 PUTNEY RD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115801820",
            "telephone_number": "516-341-8289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGE",
        "first_name": "MIRLENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-11",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mirlaine P Doriscar
• Michelle Dorsaint
• Suzie Dorsainvil, OCCUP. THERAPIST
• Candice Rose Dougan, RN
• Marjorie Douge-Moore
• Douglas J. Dukofsky, D.C.P.C. (Valley Stream Chiropractic Wellness Center)
• Mary J Downing, OTR
• Dr Herbert Ausubel
• Dr. Arthur Purvin & Dr. Nina Kalmanson
• Dr. Jeffrey Rosenberg Chiropractor

• Behavior Analyst in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Behavior Analyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; 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.