Douglas Psychotherapy Services, LCSW, PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

PR060963-1 Issued in NY

Legal business name

DOUGLAS PSYCHOTHERAPY SERVICES, LCSW, PC

Practice address

1199 Park Ave
Suite 1C
New York, NY 10128

Phone

(212) 828-7473

NPI assigned

Sep 1, 2011

Organization subpart

No

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

Authorized official

Name

Peter-Alexander D Douglas, LCSW-R

Title

Director

Phone

(212) 828-7473

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478217600000",
    "number": "1972884153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1199 PARK AVE",
            "address_2": "SUITE 1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10128",
            "telephone_number": "212-828-7473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 PARK AVE",
            "address_2": "SUITE 1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10128",
            "telephone_number": "212-828-7473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS PSYCHOTHERAPY SERVICES, LCSW, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-01",
        "last_updated": "2016-11-04",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "PETER-ALEXANDER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "212-828-7473",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR060963-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas B. Friedrich, MD, P.C.
• Douglas B. Seckendorf DC PC
• Douglas H Bailyn, MD, PC
• Douglas J Vander Heide MDPC
• Douglas J. Van Der Heide, M.D. LLP
• Barbara Douglas-Lindo, EDM
• Angela Douglas-Staley, RN, NP
• Barbara V Douglas, PT
• Brett Douglas, PHARMD
• Carolyn Jory Douglas, M.D.

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

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