Melody Kathleen Douglas

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

4005 20TH St NE
Washington, DC 20018-3255

Phone

(202) 599-5075

NPI assigned

Nov 4, 2024

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": "1730678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1245053636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 GALLOWAY ST NE APT 519S",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200116435",
            "telephone_number": "202-599-5075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 20TH ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200183255",
            "telephone_number": "202-599-5075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "MELODY",
        "middle_name": "KATHLEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Michelle Douglas, LICSW, LCSW-C
• Keosha Lashay Douglas
• Kevin Michael Douglas, MD
• Lorraine Douglas, CNP
• Melissa Vanness Douglas
• Monique June Douglas, LMFT
• Pamela Douglas, FNP-C
• Rebecca A. Douglas, M.D.
• Rosa Douglas
• Sheila Douglas

• Behavior Technician in Washington, DC
• Providers in Washington, DC by specialty
• Behavior Technician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.