Individual provider Active NPI

Lisa Michelle Doguet, MD

  • Psychiatry Physician
  • Beaumont, TX
National Provider Identifier
1902000565
Registry record updated Sep 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
BP1-0026323 Issued in TX
Practice address
3250 Fannin St
Department of Psychiatry
Beaumont, TX 77701-3903
Phone
(409) 212-7000
Fax
(409) 212-5975
NPI assigned
Jun 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X BP1-0026323 TX Primary

Addresses

Primary practice location

3250 Fannin St
Department of Psychiatry
Beaumont, TX 77701-3903

Mailing address

4444 W Main St
Department of Psychiatry
League City, TX 77573-1737
Phone (409) 763-2373

Other identifiers 1

IdentifierTypeStateIssuer
3853976529OtherMYUTMB 3853976529-COMMERCIAL NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
BP1-0026323TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Physician Network Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474502400000",
    "number": "1902000565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 W MAIN ST",
            "address_2": "DEPARTMENT OF PSYCHIATRY",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775731737",
            "telephone_number": "409-763-2373",
            "fax_number": "281-338-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 FANNIN ST",
            "address_2": "DEPARTMENT OF PSYCHIATRY",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777013903",
            "telephone_number": "409-212-7000",
            "fax_number": "409-212-5975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOGUET",
        "first_name": "LISA",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2016-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "BP1-0026323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MYUTMB 3853976529-COMMERCIAL NUMBER",
            "identifier": "3853976529",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; 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.