Susan Douglas MD LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

37902 Issued in TN

Legal business name

SUSAN DOUGLAS MD LLC

Practice address

5115 Maryland Way
Suite 119
Brentwood, TN 37027-1200

Phone

(615) 377-0722

Fax

(615) 377-0724

NPI assigned

Feb 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Susan S Douglas, MD

Title

Owner Member

Phone

(615) 377-0722

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361145600000",
    "number": "1770626319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 WAYSIDE CT",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370698105",
            "telephone_number": "615-418-3913",
            "fax_number": "615-377-0724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 MARYLAND WAY",
            "address_2": "SUITE 119",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370271200",
            "telephone_number": "615-377-0722",
            "fax_number": "615-377-0724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN DOUGLAS MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2013-02-18",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER MEMBER",
        "authorized_official_telephone_number": "615-377-0722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "37902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Psychiatry Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2013; 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.