DOUGLAS R CHEATHAM (NPI# 1326236167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326236167 |
| Entity Type | Organization |
| Organization Name | DOUGLAS R CHEATHAM |
| Other Organization Name | ELLIS COUNTY FAMILY SERVICES |
| Practice Address |
1626 W Highway 287 Business Suite #104 Waxahachie TX 75165-4712 |
| Mailing Address |
Po Box 190408 Dallas TX 75219-0408 |
| Practice Telephone | 8889350027 |
| Mailing Telephone | 2142075664 |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2008-06-13 |
| Authorized Official Name | DR. DOUGLAS RAY CHEATHAM (OWNER) |
| Authorized Official Telephone | 2142075664 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
11300 | TX | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
22513 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 081432901 | 05 | |
| TX | 098373601 | 05 | |
| TX | 095323401 | 05 |
| Other Name | Type Code |
|---|---|
| Ellis County Family Services | Doing Business As Name - Organization |
| Street Address |
1626 W HIGHWAY 287 BUSINESS SUITE #104 |
| City | WAXAHACHIE |
| State | TX |
| Zip Code | 75165-4712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619073194 | R Galen Kemp Md Pa | Ophthalmology | 1626 W Highway 287 Business, Suite 105, Waxahachie, TX 75165-4712 | 2006-09-15 |
| 1538486246 | Mdassistllc | Physician Assistant | 1626 W Highway 287 Business, 107, Waxahachie, TX 75165-4712 | 2010-04-21 |
| 1982889911 | Ellis County Surgical Associates Pa | Colon & Rectal Surgery | 1626 W Highway 287 Business, Suite 102, Waxahachie, TX 75165-4712 | 2008-01-09 |
| 1184838526 | Ellis County Surgical Associates | Colon & Rectal Surgery | 1626 W Highway 287 Business, Suite 102, Waxahachie, TX 75165-4712 | 2007-05-09 |
| 1245364058 | The University of Texas Southwestern Medical Center At Dallas | Surgery | 1626 W Highway 287 Business, Suite 102, Waxahachie, TX 75165-4712 | 2007-03-15 |
| 1316086135 | Vicki Lynn Graham | Counselor | 1626 W Highway 287 Business, Suite 104, Waxahachie, TX 75165-4712 | 2007-02-06 |
| 1639221757 | Benjamin D Boone Jr. | Orthopaedic Surgery | 1626 W Highway 287 Business, Suite 108, Waxahachie, TX 75165-4712 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730702523 | Texas Health Surgery Center Waxahachie, LLC | Clinic/Center | 1434 W Us Highway 287 Bypass, Suite 100, Waxahachie, TX 75165 | 2020-05-27 |
| 1649890112 | Roberta Mashel Wilks | Licensed Practical Nurse | 109 Southhampton Place, Waxahachie, TX 75165 | 2020-04-24 |
| 1376172072 | Marian Browning | Dietitian, Registered | 2400 North I35-e, Waxahachie, TX 75165 | 2020-04-04 |
| 1083240758 | Megan Byrom | Dietitian, Registered | 2400 North I-35e, Food and Nutrition Dept C/o Megan Byrom, Waxahachie, TX 75165 | 2020-03-13 |
| 1679118996 | Waxahachie Modern Dentistry, PC | Dentist | 1400 Us Highway 77 North, Suite 300, Waxahachie, TX 75165 | 2019-11-11 |
| 1194369546 | Eastland Memorial Hospital District | Skilled Nursing Facility | 3650 Interstate 35 E, Waxahachie, TX 75165 | 2019-10-29 |
| 1750935888 | Victoria Layne Oates | Registered Nurse | 125 Cantle St, Waxahachie, TX 75165 | 2019-07-26 |
| 1417519828 | Sarah Ann Key | Dentist | 1618 Us-287 Bus, Waxahachie, TX 75165 | 2019-07-05 |
| 1619433034 | Mariposa Perinatal Services Pllc | Obstetrics & Gynecology | 1510 W. Hwy 287 Bypass, Ste. 100, Waxahachie, TX 75165 | 2019-02-11 |
| 1376026807 | Lyndsey Jean May | Occupational Therapy Assistant | 3650 S.interstate 35-e, Waxahachie, TX 75165 | 2018-09-11 |
| Find all providers in zip 75165 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861795957 | Randy J. Smith | Psychologist | 100 N College St, Suite 304, Waxahachie, TX 75165-3702 | 2010-12-10 |
| 1477691418 | Douglas Ray Cheatham | Psychologist | 100 N College, Suite 302, Waxahachie, TX 75165-3702 | 2007-02-02 |
| 1609810092 | John Robert Skinner Jr. | Psychologist | 508 Grace St, Waxahachie, TX 75165-3046 | 2006-06-15 |
| 1457767956 | Nicole Keehn | Psychologist | 508 Grace St, Waxahachie, TX 75165-3046 | 2014-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517267 | Hunter Boone Small | Psychologist | 5940 Forest Park Rd Apt 1100, Dallas, TX 75235-6444 | 2020-10-27 |
| 1588263339 | Uttam Psychological Services Pllc | Psychologist | 16711 Cedar Yard Ln, Cypress, TX 77433-5250 | 2020-10-22 |
| 1194323097 | Ashleigh Elizabeth Fellows | Psychologist | 11750 Mission Trace St, San Antonio, TX 78230-2120 | 2020-10-13 |
| 1639776412 | Nausheen Noor | Psychologist | 3707 Springhill Ln, Sugar Land, TX 77479-2293 | 2020-10-05 |
| 1144834268 | Jeffrey Baldridge | Psychologist | 8140 Walnut Hill Ln Ste 450, Dallas, TX 75231-4328 | 2020-09-04 |
| 1871104760 | Nicole Elizabeth Hooper | Psychologist | 1 Stonebriar Ct, Dallas, TX 75206-8812 | 2020-08-13 |
| 1770194862 | Nichole Barbara Vincent | Psychologist | 829 Sunnyvale Pl, Uvalde, TX 78801-4078 | 2020-08-12 |
| 1992313522 | Aisha Iqbal | Psychologist | 5454 La Sierra Dr Ste 201, Dallas, TX 75231-2344 | 2020-07-20 |
| 1184241598 | Mellissa Tong | Psychologist | 113 W 33rd St, Austin, TX 78705-2313 | 2020-07-01 |
| 1821615733 | The Clinic Neuropsychological & Psychological Services, Pllc | Psychologist | 101 Uhland Rd Ste 205, San Marcos, TX 78666-6681 | 2020-06-26 |
| Find all providers with the same taxonomy | ||||
| City | WAXAHACHIE |
| Zip Code | 75165 |
Please comment or provide details below to improve the information on DOUGLAS R CHEATHAM.
| 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.