Active NPI
John Christian Douglas, M.D.
- Psychiatry Physician
- Hartsdale, NY
National Provider Identifier
1366769804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 269011
- Practice address
- 141 N Central Ave
Hartsdale, NY 10530-1912 - Phone
- (914) 949-7699
- Fax
- (914) 949-3224
- NPI assigned
- Apr 23, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A101028 | CA | |
| Addiction Psychiatry Physician | 2084P0802X | 053165 | CT | |
| Psychiatry Physician | 2084P0800X | 269011 | NY | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
141 N Central Ave
Hartsdale, NY 10530-1912
Mailing address
208 Valley Rd
New Canaan, CT 06840-3812
Phone (203) 801-2231
Other practice location 1
949 Bridgeport Ave
Milford, CT 06460-3142
Phone (203) 878-6365
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A101028 | CA | MD | Psychiatry Physician |
| 269011 | NY | MD | Psychiatry Physician |
| 053165 | CT | MD | Addiction Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St.Vincent' Hospital Westchester Psych | Current | Accepting new patients | |
| St Josephs Hospital Yonkers | Current | Accepting new patients | |
| Bridges Healthcare Inc. | Current | Accepting new patients | |
| Silver Hill Hospital, Inc | Current | Accepting new patients | |
| St. Joseph'S Hospital Yonkers | Current | Accepting new patients | |
| St.Vincent'S Hospital Westchester a Division of Saint Joseph'S Medical | Past | Accepting new patients | |
| Westchester Jewish Community Services | Past | Accepting new patients |
Locations
949 Bridgeport Ave
Milford, CT 06460
Phone (203) 301-2308
208 Valley Rd
New Canaan, CT 06840
Phone (203) 966-3561
275 North St
Harrison, NY 10528
Phone (914) 925-5211
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/bridgesct/r4/
Organizations & group practices 7
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Yonkers, NY
- NPI 1356316921
-
- Adult Mental Health Clinic/Center
- Milford, CT
- NPI 1851350300
-
- Psychiatric Hospital
- New Canaan, CT
- NPI 1982658035
-
- General Acute Care Hospital
- Harrison, NY
- NPI 1679883037
-
- Counseling Psychologist
- Harrison, NY
- NPI 1932400140
-
- Psychiatric Hospital Unit
- Harrison, NY
- NPI 1194035709
-
- Intellectual Disabilities Intermediate Care Facility
- White Plains, NY
- NPI 1205983707
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771891200000",
"number": "1366769804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 VALLEY RD",
"city": "NEW CANAAN",
"state": "CT",
"postal_code": "068403812",
"telephone_number": "203-801-2231",
"fax_number": "203-801-2343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 N CENTRAL AVE",
"city": "HARTSDALE",
"state": "NY",
"postal_code": "105301912",
"telephone_number": "914-949-7699",
"fax_number": "914-949-3224"
}
],
"practiceLocations": [
{
"address_1": "949 Bridgeport Ave",
"address_purpose": "LOCATION",
"city": "Milford",
"state": "CT",
"postal_code": "064603142",
"country_code": "US",
"telephone_number": "203-878-6365",
"fax_number": "203-301-2397",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOUGLAS",
"first_name": "JOHN",
"middle_name": "CHRISTIAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-23",
"last_updated": "2026-02-24",
"certification_date": "2026-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A101028",
"primary": false
},
{
"code": "2084P0802X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": "CT",
"license": "053165",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "269011",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hartsdale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; 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.