Paulette Douglas, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

49399 Issued in CA

Practice address

23800 Sunnymead Blvd Ste D
Moreno Valley, CA 92553-7731

Phone

(310) 420-5341

Fax

(800) 313-0140

NPI assigned

Feb 1, 2008

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)

Enrolled

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.

• A New Creation Child, Individual & Family Counseling Treatment Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Moreno Valley, CA
  • NPI 1992179360
  NPD (past) Authorized official

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1265610273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11776 NAVEL AVE",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925576643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23800 SUNNYMEAD BLVD STE D",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925537731",
            "telephone_number": "310-420-5341",
            "fax_number": "800-313-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "PAULETTE",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-01",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "49399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Dorame, LVN
• Alexandr V Doroshenko, DDS
• William Kent Dorrance, OD
• Desmond N Dortch
• Michael Stephen Douglas, M.D.
• Beatrice Elena Douglass
• John Alexander Dover
• Veronica Jeannette Dover, LMFT
• Kelly R Downey
• Stephanie Rae Downing, MD

• Marriage & Family Therapist in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; 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.