Sara Elizabeth Douglas, AMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

AMFT104159 Issued in CA

Practice address

650 Clark Way
Palo Alto, CA 94304-2300

Phone

(650) 326-5530

NPI assigned

Feb 27, 2018

Sex

Female

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)

Enrolled

State licenses

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519689600000",
    "number": "1598266256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 S 16TH ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951122154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 CLARK WAY",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943042300",
            "telephone_number": "650-326-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "SARA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-27",
        "last_updated": "2018-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "AMFT104159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chrysoula Dosiou, MD
• Margaret Dougherty, M.S. OTR
• Douglas S Lew DDS (Bay Area Prosthodontics)
• Jennifer Douglas, PHD
• Marilyn Kuhel Douglas, DNSC, RN, FAAN
• Stephanie Douglas, M.D.
• John Dwight Doux, M.D.
• Cameron Robert Dowling, M.B.B.S., PH.D.
• Dr Daniel B Armistead DDS
• Dr Luqman Patel OD Optometric Corporation

• Mental Health Counselor in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.