NPIMap

Individual provider Active NPI

Joseph Raymond Doumit, M.D.

  • Psychiatry Physician
  • Cypress, CA
National Provider Identifier
1457440471
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
59277 Issued in AZ
Practice address
6261 Katella Ave Ste 150
Cypress, CA 90630-5249
Phone
(714) 820-1657
Fax
(855) 663-2244
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD60232889 WA
Psychiatry Physician 2084P0800X D0063931 MD
Psychiatry Physician 2084P0800X 59277 AZ Primary

Addresses

Primary practice location

6261 Katella Ave Ste 150
Cypress, CA 90630-5249

Mailing address

6261 Katella Ave Ste 150
Cypress, CA 90630-5249
Phone (714) 820-1657

Other identifiers 14

IdentifierTypeStateIssuer
100104919OtherAPS
119591300OtherMD PHYSICIANS CARE
357675OtherMAMSI
E1540042OtherCAREFIRST BLUE CHOICE
054635OtherJHHC
119591300MedicaidMD
309308OtherANTHEM SALISBURY
521860379OtherINFORMED
600018703OtherMAGELLAN
309302OtherANTHEM PRINCESS ANNE
0284968OtherWALABOR AND INDUSTRY
521860379OtherUNITED BEHAVIORAL HEALTH
77709886OtherAETNA
1457440471MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
59277AZMDPsychiatry Physician
D0063931MDMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Landmark Health of Oregon LLC PastSince Mar 11, 2022 Accepting new patients
Memorial Physicians, PLLC PastSince Dec 14, 2015 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jdoumit@landmarkhealth-direct.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1457440471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6261 KATELLA AVE STE 150",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906305249",
            "telephone_number": "714-820-1657",
            "fax_number": "855-663-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6261 KATELLA AVE STE 150",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906305249",
            "telephone_number": "714-820-1657",
            "fax_number": "855-663-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUMIT",
        "first_name": "JOSEPH",
        "middle_name": "RAYMOND",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD60232889",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0063931",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "59277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APS",
            "identifier": "100104919",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD PHYSICIANS CARE",
            "identifier": "119591300",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "357675",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUE CHOICE",
            "identifier": "E1540042",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JHHC",
            "identifier": "054635",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119591300",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM SALISBURY",
            "identifier": "309308",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INFORMED",
            "identifier": "521860379",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "600018703",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PRINCESS ANNE",
            "identifier": "309302",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRY",
            "identifier": "0284968",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "521860379",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "77709886",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457440471",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; 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.