Douglas Cole, PHD

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

26342 Issued in MS

Practice address

1654 E Union St
Greenville, MS 38703-3250

Phone

(662) 335-5274

Fax

(662) 378-3976

NPI assigned

Mar 23, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Region VI Community Mental Health Commission

  dba Life Help

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Greenwood, MS
  • NPI 1154433233
  Medicare reassignment NPD
• Garden Park

  dba Region VI Mental Health/Mental Retardation Commission

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Greenwood, MS
  • NPI 1932437209
  NPD (past)

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255458444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1654 E UNION ST",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387033250",
            "telephone_number": "662-335-5274",
            "fax_number": "662-378-3976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1654 E UNION ST",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387033250",
            "telephone_number": "662-335-5274",
            "fax_number": "662-378-3976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "DOUGLAS",
        "name_prefix": "Prof.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "MS",
            "license": "26342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Chavez, MD
• Devin Duprea Christian
• Kyle T Christopher
• Michael Joseph Cirilli, MD
• Cleveland Children's Clinic, PLLC (Greenville Children's Clinic)
• Coleman Speech & Language, P.C.
• Evelyn R Coleman
• Kimberly Renae Coleman, M.S., CCC-SLP
• Linda Stout Coleman
• Robert Coleman, CRNA

• Cognitive & Behavioral Psychologist in Greenville, MS
• Providers in Greenville, MS by specialty
• Cognitive & Behavioral Psychologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.