Robert Leslie Douglas, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

005329-1 Issued in NY

Practice address

10 Fiske PL
Suite 228
Mount Vernon, NY 10550-3205

Phone

(914) 960-4302

NPI assigned

Mar 1, 2010

Last updated

Feb 26, 2013By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1267401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361836800000",
    "number": "1275856510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FISKE PL",
            "address_2": "SUITE 228",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105503205",
            "telephone_number": "914-960-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FISKE PL",
            "address_2": "SUITE 228",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105503205",
            "telephone_number": "914-960-4302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "ROBERT",
        "middle_name": "LESLIE",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-01",
        "last_updated": "2013-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "005329-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marva Dolphin
• Loretta Dolphus II
• Sabrina Dominique, MS CCC-SLP
• Constance Douglas, LCSW
• Nicola Douglas, LPN
• Maxine E Dove, D.D.S.
• Loretta Kari Dowlat-Corbanese
• Patricia Rosemary Downer-Bandoo, RN
• Dr Naeema Burgess Psychological Services PLLC
• Daniel Dresdner, LCSW

• Mental Health Counselor in Mount Vernon, NY
• Providers in Mount Vernon, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; 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.