Douglas & Associates Psychological Services PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

DOUGLAS & ASSOCIATES PSYCHOLOGICAL SERVICES PLLC

Practice address

3206 Longmire Dr Ste A15
College Station, TX 77845-5858

Phone

(979) 703-0616

NPI assigned

Dec 10, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Camille Ashley De Leonardis, PSYDNPI 1578973335

Title

Owner

Phone

(979) 703-0616

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Camille Ashley Deleonardis, PSYD

  • Clinical Psychologist
  • College Station, TX
  • NPI 1578973335
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1733788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759363200000",
    "number": "1922814326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3206 LONGMIRE DR STE A15",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778455858",
            "telephone_number": "979-703-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3206 LONGMIRE DR STE A15",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778455858",
            "telephone_number": "979-703-0616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS & ASSOCIATES PSYCHOLOGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-10",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A",
        "authorized_official_last_name": "DE LEONARDIS",
        "authorized_official_first_name": "CAMILLE",
        "authorized_official_middle_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-703-0616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sidai Dong, PH.D., LP
• Kylie Dorman
• Lacy Renee Dorman
• Nicole Dorris
• Jeu B Dott Jr., MD
• Lauren Douglas, PA
• Dr Ann L Wild Optometrist PA (Dr Ann L Wild, Optometrist)
• Kenrica Faye Drake, RBT
• Kimberly Kay Drake
• David M Dranetz, MD

• Clinical Psychologist in College Station, TX
• Providers in College Station, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.