DR. HEIDI DOUGLASS (NPI# 1255396958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255396958 |
| Entity Type | Individual |
| Full Name | DR. HEIDI DOUGLASS |
| Credential | PH.D. |
| Practice Address |
1610 Gar Hwy Somerset MA 02726-1210 |
| Mailing Address |
Po Box 253 North Dighton MA 02764-0253 |
| Practice Telephone | 5086720005 |
| Practice Fax Number | 2066664822 |
| Mailing Telephone | 5086720005 |
| Mailing Fax Number | 2066664822 |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PS00858 | RI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | BLUE CROSS BLUE SHIELD RI | 29246-7 | 01 |
| Street Address |
1610 GAR HWY |
| City | SOMERSET |
| State | MA |
| Zip Code | 02726-1210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164034252 | Paul Michael Shaughnessy Jr. | Pharmacist | 296 Buffington St, Somerset, MA 02726 | 2020-08-19 |
| 1134630775 | James M Theriault | Occupational Therapy Assistant | 279 Vermont Ave, Somerset, MA 02726 | 2017-10-23 |
| 1033634951 | Ronald Alec Coulstring Jr. | Physical Therapy Assistant | 1440 Grand Army of The Republic, Somerset, MA 02726 | 2017-08-11 |
| 1447707906 | Jessica Solup | Occupational Therapist | 158 Highview Avenue, Somerset, MA 02726 | 2016-09-01 |
| 1649639956 | Fisher Bus Inc | Secured Medical Transport (VAN) | 586 County Street, Somerset, MA 02726 | 2016-02-15 |
| 1104248988 | Jennifer Doyle | Speech-Language Pathologist | 668 Wood St, Somerset, MA 02726 | 2014-01-13 |
| 1528143906 | Joshua John Gurney | Physical Therapist | 67 G.a.r. Highway, Somerset, MA 02726 | 2006-10-26 |
| 1700972247 | Margaret Gray Clark-moroff | Optometrist | 44 Shawomet Avenue, Somerset, MA 02726 | 2006-10-04 |
| 1609884683 | Donald Albert Forbes | Dentist | 481 South Street, Somerset, MA 02726 | 2006-08-04 |
| 1124046685 | Philip Michael Robitaille | Dentist | 1188 County St, Somerset, MA 02726 | 2006-07-17 |
| Find all providers in zip 02726 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730671710 | Stephen Douglas Lemon | Psychologist | 286 Bogle St Ste 8, Somerset, KY 42503-2898 | 2018-06-05 |
| 1134533359 | Heather Parton | Psychologist | 145 E Robin Lynn Dr, Somerset, TX 78069 | 2014-06-16 |
| 1710171731 | Issis M. Betts-jimenez | Psychologist | Va Somerset Clinic, 163 Tower Cir, Somerset, KY 42503 | 2007-09-03 |
| 1093923724 | Charles Engelhart | Psychologist | 17 Surrey Rd, Somerset, NJ 08873-2331 | 2007-05-18 |
| 1083797708 | Steven J. Sohnle | Psychologist | 29 Clyde Rd Ste 201, Somerset, NJ 08873-5040 | 2006-10-24 |
| 1427138668 | Catherine B Mermelstein | Psychologist | Regency Heritage Nursing Home and Rehab, 380 Demott Lane, Somerset, NJ 08873 | 2006-10-16 |
| 1851330955 | Melanie Callender | Psychologist | 29 Clyde Rd, Suite 201, Somerset, NJ 08873-5040 | 2006-06-05 |
| 1386696276 | Angie Broyles | Psychologist | 149 Enterprise Dr, Somerset, KY 42501-6155 | 2006-05-17 |
| 1205887957 | Anne Susan Presser | Psychologist | 879 County St, Somerset, MA 02726-5033 | 2006-05-15 |
| 1396114237 | Dakota Radford | Psychologist | 237 Dakota Dr, Somerset, KY 42501-2425 | 2015-09-22 |
| Find all providers in SOMERSET | ||||
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| 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.