Faith Doughty, PSYD

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

023900 Issued in NY

Practice address

970 Haddon Ave Unit 462
Collingswood, NJ 08108-8022

Phone

(609) 888-6963

NPI assigned

Jul 31, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Sunrise Psychological Services LLC

  • Psychologist
  • Collingswood, NJ
  • NPI 1578330999
  NPD Authorized official

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

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1679182000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 HADDON AVE UNIT 462",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081088022",
            "telephone_number": "609-888-6963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 HADDON AVE UNIT 462",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081088022",
            "telephone_number": "609-888-6963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHTY",
        "first_name": "FAITH",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-31",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NY",
            "license": "023900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arzu Serra Dickinson, RPH
• Dileonardo Wellness
• Michael Vincent Diorio, D.M.D
• Mary Dipalma
• April Doe, PTA
• Dr. Mark Tirone, DPM, LLC
• Jennifer Scesa Duckles, RN, IBCLC
• Marie Anntonette Dunlap-Pryce, LCSW
• Imani Tarina Edwards, MSW
• Olivia Ann Eichman

• Cognitive & Behavioral Psychologist in Collingswood, NJ
• Providers in Collingswood, NJ by specialty
• Cognitive & Behavioral Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.