Douglas Canterbury-Counts, PH.D., P.a.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY4461 Issued in FL

Legal business name

DOUGLAS CANTERBURY-COUNTS, PH.D., P.A.

Practice address

1365 18TH St Ste 3
Vero Beach, FL 32960-3577

Phone

(772) 569-2239

Fax

(772) 365-0386

NPI assigned

Jul 7, 2009

Organization subpart

No

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

Authorized official

Name

Dr. William Douglas Canterbury-Counts, PH.D.NPI 1033149141

Title

President

Phone

(772) 569-2239

Specialties & licenses 2

Addresses

Other names 1

• Center for Sacred Psychology Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• William Douglas Canterbury-Counts, PH.D.

  • Psychologist
  • Sebastian, FL
  • NPI 1033149141
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246924800000",
    "number": "1497984868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1365",
            "city": "ROSELAND",
            "state": "FL",
            "postal_code": "329571365",
            "telephone_number": "772-569-2239",
            "fax_number": "772-365-0386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 18TH ST STE 3",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329603577",
            "telephone_number": "772-569-2239",
            "fax_number": "772-365-0386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS CANTERBURY-COUNTS, PH.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-07",
        "last_updated": "2009-07-07",
        "status": "A",
        "authorized_official_last_name": "CANTERBURY-COUNTS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-569-2239",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY4461",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY4461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Sacred Psychology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Lee Dooley, LMFT
• Michelle Lynn Dorfman, MSOTR
• Rochelle Iris Dorney, LMHC
• Dorothy K. Dinnan
• Mykel Dorvelia
• Douglas Health Services, LLC
• Douglas L Demar DPM PA
• Bryan David Douglas, D.C.
• Sean Patrick Dourney
• Mary Kathleen Dowling

• Psychologist in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.