Douglas P Smith, MASTERS IN COUNSELIN

Primary specialty

Rehabilitation CounselorTaxonomy code 225C00000X

Practice address

550 Quarry Rd
Hsa 201
San Carlos, CA 94070-6221

Phone

(650) 802-6427

Fax

(650) 508-0872

NPI assigned

Jun 3, 2011

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1307059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307059200000",
    "number": "1396039681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 QUARRY ROAD",
            "address_2": "HSA 201",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "94070",
            "telephone_number": "650-802-6427",
            "fax_number": "650-508-0872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 QUARRY RD",
            "address_2": "HSA 201",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940706221",
            "telephone_number": "650-802-6427",
            "fax_number": "650-508-0872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DOUGLAS",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "MASTERS IN COUNSELIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-03",
        "last_updated": "2011-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Slattery, LMFT154810
• Sleepquest Medical Associates, Inc.
• Sleepquest, Inc.
• Sleepquest, Inc.
• Deanne Barbara Smith, PT
• Ian Smith, DC
• Jeffrey Martin Smith, RNFA
• Kirsten Anne Smith, LCSW
• Lynn M Smolik, MD
• Aaron Snyder

• Rehabilitation Counselor in San Carlos, CA
• Providers in San Carlos, CA by specialty
• Rehabilitation Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2011; 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.