Douglas R Cheatham

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

22513 Issued in TX

Legal business name

DOUGLAS R CHEATHAM

Doing business as

Ellis County Family Services

Practice address

1626 W Highway 287 Business
Suite #104
Waxahachie, TX 75165-4712

Phone

(888) 935-0027

NPI assigned

Oct 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Douglas Ray Cheatham, PH.D.NPI 1477691418

Title

Owner

Phone

(214) 207-5664

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Ellis County Family Services Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Douglas Ray Cheatham, PH.D.

  • Clinical Psychologist
  • Waxahachie, TX
  • NPI 1477691418
  NPD (past) Authorized official

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1326236167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190408",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752190408",
            "telephone_number": "214-207-5664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 W HIGHWAY 287 BUSINESS",
            "address_2": "SUITE #104",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751654712",
            "telephone_number": "888-935-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS R CHEATHAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "CHEATHAM",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-207-5664",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "11300",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "22513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "095323401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "098373601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "081432901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellis County Family Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• DND Management Inc.
• Roy Marshall Dodson Jr., RPH PHARMD
• Dominion Anesthesia PA
• Cindy Jo Dooly, LPC
• Doris Joan Hester
• Linda J Douglas, P.T.
• Zachary W Drain, MD
• Laura Driggers, FNP-BC
• Sean Driggers, PA-C
• Drive Nation Sports LLC

• Clinical Psychologist in Waxahachie, TX
• Providers in Waxahachie, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.