John James Dougherty, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202005980 Issued in VA

Practice address

Exceptional Education & Student Services, 13TH Floor
301 North Ninth Street
Richmond, VA 23219-1927

Phone

(804) 780-7312

NPI assigned

Nov 15, 2010

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1289779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525392000000",
    "number": "1720389240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N NINTH ST FL 13",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232191927",
            "telephone_number": "804-780-7312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EXCEPTIONAL EDUCATION & STUDENT SERVICES, 13TH FLOOR",
            "address_2": "301 NORTH NINTH STREET",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232191927",
            "telephone_number": "804-780-7312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHERTY",
        "first_name": "JOHN",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-15",
        "last_updated": "2018-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202005980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyerell Dotson, LCSW, BCD
• Wendy Ann Dotson, CNM
• Grayson Doub
• Daniel Joseph Dougherty, LCSW
• Deborah J Dougherty, NP
• Linda M. Dougherty, PH.D.
• Thomas E Dougherty III, LCSW
• Catherine D Douglas, MS, RNC
• Jonelle Alicia Douglas, M.D.
• Michael F. S. Douglas, MD

• Speech-Language Pathologist in Richmond, VA
• Providers in Richmond, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.