Shelley Jacquelyn Doumani-Semino, MD

Primary specialty

Addiction Psychiatry PhysicianTaxonomy code 2084P0802X

License

24648 Issued in AZ

Practice address

11638 N 12TH PL
Phoenix, AZ 85020-1221

Phone

(602) 799-9111

Fax

(602) 293-3236

NPI assigned

Apr 27, 2006

Last updated

Apr 13, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Houshang Semino MDPC

  • Psychiatry Physician
  • Glendale, AZ
  • NPI 1750307302
  NPD (past)

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1316904980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11638 N 12TH PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850201221",
            "telephone_number": "602-799-9111",
            "fax_number": "602-293-3236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11638 N 12TH PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850201221",
            "telephone_number": "602-799-9111",
            "fax_number": "602-293-3236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUMANI-SEMINO",
        "first_name": "SHELLEY",
        "middle_name": "JACQUELYN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "24648",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "AZ",
            "license": "24648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Douglas
• Xavier Douglas, MD
• Michael Doukas
• Doula4Care LLC
• Farah N Doulah
• Francis Xavier Douris, PHARM D.
• Trissa Douthitt
• Dove & Sparrow Management LLC (Gentle Dove Homecare Services)
• Dove in the Valley LLC
• Dove in the Valley LLC

• Addiction Psychiatry Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Addiction Psychiatry Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; 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.