DR. ADRIENNE M DOUGLASS


Address: 14147 Asher Vw, Centreville, VA 20121-5315
Phone: 5712635165

DR. ADRIENNE M DOUGLASS (NPI# 1245626134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245626134
Entity Type Individual
Full Name DR. ADRIENNE M DOUGLASS
Credential PSY.D.
Practice Address 14147 Asher Vw
Centreville
VA 20121-5315
Practice Telephone 5712635165
Mailing Telephone 5712635165
Enumeration Date 2015-04-08
Last Update Date 2015-04-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
0810003979 VA Behavioral Health & Social Service Providers

Office Location

Street Address 14147 ASHER VW
City CENTREVILLE
State VA
Zip Code 20121-5315

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1447519483 James Hamilton Occupational Therapy Assistant 6220 William Mosby Dr, Centreville, VA 20121 2012-05-11
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528433257 Brighter Day Health LLC Psychologist 14364 Quail Pond Ct, Centreville, VA 20120-1681 2015-12-07
1083700603 Kolleen Martin Psychologist 13890 Braddock Road, Centreville, VA 20121-2435 2006-10-04
1528013612 Luanne A Turrentine Psychologist 5013 Marshall Crown Rd, Centreville, VA 20120-6432 2006-05-24
1093710485 Caryll Jefferies Semmler Psychologist 5675 Stone Rd, #320, Centreville, VA 20120 2005-06-14
1811190416 Lorne Robert Ladner Psychologist 13890 Braddock Rd, Suite 312, Centreville, VA 20121-2435 2007-06-09
1194879593 Amy Muntz Fisch Psychologist 13890 Braddock Rd, Suite 312, Centreville, VA 20121-2435 2007-01-22
1548317712 Phyllis Margo Anderson Psychologist 5675 Stone Rd, Suite 320, Centreville, VA 20120-1667 2007-01-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1710593603 Tina Tehrani Nawaz Psychologist 23909 Heather Meadow Dr, Ashburn, VA 20148-1767 2020-09-16
1942813720 David Rothman Psychologist 2000 Wilkes Drive, Richomd, VA 23233 2020-08-31
1174135917 Elizabeth Dehart Richardson Psychologist 3023 Arrowhead Rd, Rockingham, VA 22801-8682 2020-08-22
1558973131 Saharay Elizabeth Martinez Psychologist 26 Zenith Loop, Newport News, VA 23601-1270 2020-08-17
1881204097 Maria Elena Burke Psychologist 108 Colonels Way, Williamsburg, VA 23185-5105 2020-08-03
1699385013 Celeste Macdonald Kelly Psychologist 250 Wylderose Cmns, Midlothian, VA 23113-6883 2020-08-01
1811515794 Thomas Craig Foster Jr. Psychologist 115 Bulifants Blvd Ste A, Williamsburg, VA 23188-5720 2020-07-08
1225655012 Drew Taylor Bassett Psychologist 1970 Roanoke Blvd # 116b1, Salem, VA 24153-6404 2020-06-29
1851917843 Nathaniel Andrew Psychologist 3112 Honeywood Ln Apt E, Roanoke, VA 24018-8853 2020-06-25
1548886674 Anita L Boss Psychologist 1200 Prince St, Alexandria, VA 22314-2936 2020-06-24
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Competitor

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City CENTREVILLE
Zip Code 20121

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Dataset Information

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.

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