Parker Hazzard Douglas

Primary specialty

Psychoanalysis PsychologistTaxonomy code 103TP0814X

License

001027 Issued in NY

Practice address

40 W 13TH St
New York, NY 10011-7940

Phone

(917) 324-0833

NPI assigned

Sep 17, 2018

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": "1537142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537142400000",
    "number": "1386128221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19A GARDEN PL # A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014659",
            "telephone_number": "917-324-0833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 W 13TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100117940",
            "telephone_number": "917-324-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "PARKER",
        "middle_name": "HAZZARD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-17",
        "last_updated": "2018-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP0814X",
            "taxonomy_group": "",
            "desc": "Psychologist, Psychoanalysis",
            "state": "NY",
            "license": "001027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Douglas, LMFT
• Lacey Douglas
• Marilyn Monique Douglas, FNP
• Melissa N. Douglas, LCSW
• Orin Albert Douglas, MD
• Peter A Douglas, MSW
• Rebecca Christina Douglas, FNP
• Samuel Garrison Douglas, LCSW
• Samuel Reed Douglas, LCSW
• Teshanee Dara Douglas, LPN

• Psychoanalysis Psychologist in New York, NY
• Providers in New York, NY by specialty
• Psychoanalysis Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2018; 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.