Judith Dougan, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X008507 Issued in NY

Practice address

400 Kings Mall CT
Kingston, NY 12401-1578

Phone

(845) 331-1103

Fax

(845) 331-1104

NPI assigned

Dec 11, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Kingston Physical Therapy and Sports Rehab PC

  • Physical Therapist
  • Kingston, NY
  • NPI 1720158900
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1245390111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 ARNOLD DR",
            "city": "WOODSTOCK",
            "state": "NY",
            "postal_code": "124981701",
            "telephone_number": "845-679-0093",
            "fax_number": "845-331-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 KINGS MALL CT",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124011578",
            "telephone_number": "845-331-1103",
            "fax_number": "845-331-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGAN",
        "first_name": "JUDITH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMP",
            "identifier": "C085078B",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsea Donlin
• Ashley Donnelly
• Paul B Donovan, MD
• Bethany Doolittle
• Zygmunt Dorozynski, DDS
• Douglas Heller, MD, PC
• Elliot Taylor Douglas, LMHC, BCBA
• Barbara Jeanne Downey
• Audrey Downing, LMT
• Melissa Downing

• Chiropractor in Kingston, NY
• Providers in Kingston, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.