Desiree Richelle Douglas, LPT

Primary specialty

Licensed Psychiatric TechnicianTaxonomy code 167G00000X

Practice address

1320 Arnold Dr Ste 261
Martinez, CA 94553-6537

Phone

(707) 210-5444

NPI assigned

Oct 6, 2023

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

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

{
    "created_epoch": "1696550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1225819246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CAMBRIDGE DR UNIT 140",
            "city": "BENICIA",
            "state": "CA",
            "postal_code": "945103682",
            "telephone_number": "707-210-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 ARNOLD DR STE 261",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945536537",
            "telephone_number": "707-210-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "DESIREE",
        "middle_name": "RICHELLE",
        "name_prefix": "Ms.",
        "credential": "LPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-06",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillip Dorigatti, CATC II
• Sarah Ellen Dorrell, PH.D.
• Susan Brandt Dorst, PT
• Sandeep Dosanjh
• Serena Ashley Doty
• Johnisha Downs
• Amber Doyle, AMFT
• Megan Doyle, M.A.,MFTI
• Robyn Draper-Praetz
• Brandi Renee Draper

• Licensed Psychiatric Technician in Martinez, CA
• Providers in Martinez, CA by specialty
• Licensed Psychiatric Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.