Douglas Drucker, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY14138 Issued in CA

Practice address

16615 Lark Ave
Ste 203
Los Gatos, CA 95032-7645

Phone

(408) 358-8792

Fax

(408) 358-8762

NPI assigned

Oct 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Forest Medical Group, Inc.

  • Specialist
  • Campbell, CA
  • NPI 1366642225
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356134400000",
    "number": "1720175748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3803 S BASCOM AVE",
            "address_2": "STE 210",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950087317",
            "telephone_number": "408-377-3510",
            "fax_number": "408-377-2941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16615 LARK AVE",
            "address_2": "STE 203",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950327645",
            "telephone_number": "408-358-8792",
            "fax_number": "408-358-8762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRUCKER",
        "first_name": "DOUGLAS",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2012-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY14138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OPL141380",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr. Brittany Pickett-Rose, Lac., Dacm
• Dr. Rafia Los Gatos Chiropractic and Rehab
• Courtney Drake, MPT
• Anahita Drennon, PT
• Maria Viktoria Drew, MA
• Alfredo Duarte Martinez, BCBA
• Cynthia Dubois Tabrisky, PT
• Alyx Michele Duckering
• Dewey Jeffrey Duckham, M.D.
• Kirsten C Duggins, P.A., N.P.

• Psychologist in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.