EDWARD DOUGLAS II (NPI# 1154984862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154984862 |
| Entity Type | Individual |
| Full Name | EDWARD DOUGLAS II |
| Practice Address |
850 Harrison Ave Boston MA 02118-4001 |
| Practice Telephone | 6174144722 |
| Practice Fax Number | 6174145520 |
| Mailing Telephone | 6174144722 |
| Mailing Fax Number | 6174145520 |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2019-04-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084B0040X |
Psychiatry & Neurology Specialization: Behavioral Neurology & Neuropsychiatry |
2084B0040X | MA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831259092 | Edward Wakefield Douglas | Chiropractor | 916 Nw Park St, Okeechobee, FL 34972-4138 | 2006-12-11 |
| 1467452813 | Edward R Douglas | Neuromusculoskeletal Medicine & OMM | 3829 S Jefferson Ave, Springfield, MO 65807-5376 | 2005-07-28 |
| 1063702926 | Edward R Douglas | Pharmacist | 1825 W Palmetto St, Florence, SC 29501-4137 | 2011-04-12 |
| Street Address |
850 HARRISON AVE |
| City | BOSTON |
| State | MA |
| Zip Code | 02118-4001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659373397 | Ana C. Sanchez | Pediatrics | 850 Harrison Ave, Yacc 6, Boston, MA 02118-4001 | 2005-08-12 |
| 1558972927 | Kendra Harris | Social Worker | 850 Harrison Ave, Boston, MA 02118-4001 | 2020-08-11 |
| 1912517855 | Kathryn Elizabeth Snyder | Social Worker | 850 Harrison Ave, Boston, MA 02118-4001 | 2020-08-05 |
| 1194334235 | Kelsey Spratt | Social Worker | 850 Harrison Ave, Boston, MA 02118-4001 | 2020-07-24 |
| 1972131720 | Avani Vaishnav | Student in an Organized Health Care Education/Training Program | 850 Harrison Ave, Boston, MA 02118-4001 | 2020-03-28 |
| 1518594944 | Lulu Li | Student in an Organized Health Care Education/Training Program | 850 Harrison Ave, Boston, MA 02118-4001 | 2020-03-25 |
| 1730715608 | Zachary Emmanuel Zeller | Orthopaedic Surgery | 850 Harrison Ave, Boston, MA 02118-4001 | 2020-03-23 |
| 1043850167 | Lindsey Smith | Pharmacist | 850 Harrison Ave, Boston, MA 02118-4001 | 2020-01-07 |
| 1235778523 | Kim Nguyen | Pharmacist | 850 Harrison Ave, Boston, MA 02118-4001 | 2020-01-03 |
| 1770121634 | Elaine Lebel | Social Worker | 850 Harrison Ave, Boston, MA 02118-4001 | 2019-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870023 | Carlos E Salazar | Counselor | Hcrc 23 Bradston St., Boston, MA 02118 | 2020-10-27 |
| 1780292607 | Jinal Gandhi | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Boston, MA 02118 | 2020-07-16 |
| 1669094777 | German Eduardo Velez | Student in an Organized Health Care Education/Training Program | One Boston Medical Center Place Boston Medical Center, Boston, MA 02118 | 2020-05-12 |
| 1255969895 | Isabela Medeiros Heringer Pereira | Student in an Organized Health Care Education/Training Program | 670 Albany Stree, 4th Floor, Boston, MA 02118 | 2020-03-30 |
| 1033746466 | Karan Sunil Hingorani | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Precepting Room, Boston, MA 02118 | 2020-03-25 |
| 1326672791 | Azza Ahmed | Dentist | 635 Albany St. G-744, Boston, MA 02118 | 2020-02-25 |
| 1538707401 | Jane Margolis | Social Worker | 840 Harrison Ave., Dowling 2 South, Boston, MA 02118 | 2019-12-11 |
| 1871134833 | Supontep Teerakanok | Dentist | Henry Goldman School of Dental Medicine, 635 Albany St, Boston, MA 02118 | 2019-10-01 |
| 1750939583 | Qasim Silman Ajmi | Orthopaedic Surgery | Department of Orthopaedic Surgery Boston Medical Center, 850 Harrison Ave Dowling 2 North, Boston, MA 02118 | 2019-08-26 |
| 1922655539 | Jami Ryan Pollard | Physician Assistant | 840 Harrison Avenue, Menino Building, Boston, MA 02118 | 2019-08-20 |
| Find all providers in zip 02118 | ||||
| Taxonomy Code | 2084B0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Behavioral Neurology & Neuropsychiatry |
| Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues. |
| Notes: Source: National Uniform Claim Committee. [1/1/2012: new] Additional Resources: American Academy of Neurology, www.aan.com. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588958631 | Alessandro Biffi | Psychiatry & Neurology | 15 Parkman St # 8835, Boston, MA 02114-3117 | 2011-06-07 |
| 1215236476 | Brigid Dwyer | Psychiatry & Neurology | 725 Albany St, Shapiro 7, Suite B, Boston, MA 02118-2526 | 2011-03-26 |
| 1194988659 | Seth A. Gale | Psychiatry & Neurology | 221 Longwood Ave, Mezzanine 80, Boston, MA 02115-5804 | 2008-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477021491 | Aliyu Oster Ojei | Psychiatry & Neurology | 40 W Park St, Brockton, MA 02301-5241 | 2018-11-07 |
| 1649798000 | Awareness Therapy Center, LLC | Psychiatry & Neurology | 264 N Main St Ste 1a, East Longmeadow, MA 01028-1815 | 2017-09-06 |
| 1609142017 | Boston Center for Memory, Inc | Psychiatry & Neurology | 180 Wells Ave., Suite 304, Newton, MA 02459 | 2012-03-29 |
| 1952322364 | Eric Charles Dessain | Psychiatry & Neurology | 62 Conant Rd, Garage Entrance, Lincoln, MA 01773-3913 | 2006-07-21 |
| 1356906572 | Spectrum Neuro Behavioral Care LLC | Psychiatry & Neurology | 61 Lincoln St Ste 203, Framingham, MA 01702-8264 | 2019-05-02 |
| 1508358391 | Sharon Sedik | Psychiatry & Neurology | 140 High St Ste 230, Springfield, MA 01105-1435 | 2018-06-06 |
Please comment or provide details below to improve the information on EDWARD DOUGLAS II.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.