DR. DOUGLAS JOHN ANDERSON (NPI# 1497954572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497954572 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS JOHN ANDERSON |
| Credential | MD |
| Practice Address |
500 5th Ave Suite 923 New York NY 10110-0002 |
| Practice Telephone | 2127649083 |
| Practice Fax Number | 2127640306 |
| Mailing Telephone | 2127649083 |
| Mailing Fax Number | 2127640306 |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2007-07-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
108132 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | EMPIRE BLUE CROSS & BLUE | 34H221 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497183396 | Douglas Anderson | Occupational Therapy Assistant | 234 Carney St, Twin Falls, ID 83301-5010 | 2013-10-31 |
| 1639417983 | Douglas Alan Anderson | Internal Medicine | 11942 N 95th St, Scottsdale, AZ 85260-7133 | 2013-01-22 |
| 1184900292 | Douglas M Anderson | Pharmacist | 13 Lafayette St, Saco, ME 04072-2022 | 2011-11-02 |
| 1467667741 | Douglas M Anderson | Pharmacist | 4510 Jubilee Ct, Powder Springs, GA 30127-4946 | 2007-05-11 |
| 1972718310 | Douglas W Anderson | Dentist | 18160 Cottonwood Rd, Pmb 258, Sunriver, OR 97707 | 2007-05-11 |
| 1821157918 | Douglas M Anderson | Dentist | 2651 W South Jordan Pkwy Ste 201, South Jordan, UT 84095-8966 | 2006-12-06 |
| 1568565109 | Douglas M Anderson | Social Worker | 701 Richmond Ave, Houston, TX 77006-5511 | 2006-09-07 |
| 1699788307 | Douglas A Anderson | Chiropractor | 12510 W 62nd Terrace, Ste #101, Shawnee, KS 66216 | 2006-08-14 |
| 1477554095 | Douglas Calvin Anderson Jr. | Pharmacist | 1712a E Broad Ave, East Albany Medical Center, Albany, GA 31705-2611 | 2005-08-04 |
| 1750381851 | Douglas L Anderson | Psychologist | 2109 S Norton Ave, Sioux Falls, SD 57105-3730 | 2005-07-29 |
| Street Address |
500 5TH AVE SUITE 923 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10110-0002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811194798 | Jack Schtierman | Chiropractor | 500 5th Ave, Suite 222, New York, NY 10110-0002 | 2007-07-02 |
| 1417168600 | Manohar S Talreja | Dentist | 500 5th Ave, Suite 310, New York, NY 10110-0002 | 2007-05-27 |
| 1023138260 | Scott M. Fine | Dentist | 500 5th Ave, Suite 3100, New York, NY 10110-0002 | 2007-03-30 |
| 1588741862 | Paul William Nassar | Psychiatry & Neurology | 500 5th Ave, Suite 923, New York, NY 10110-0002 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497139182 | Anita Vasa | Marriage & Family Therapist | Level 30, Bhiraj Tower At Emquartier, 689 Sukhumwit Rd., North Klongton, VADHANA, BANGKOK 10110 | 2015-07-13 |
| 1679874994 | Lynn Patricia Kamara | Social Worker | 10 Sukhumvit Soi 22 #18a2, Klongtoey, BANGKOK 10110 | 2010-11-03 |
| 1801052303 | Tatpong Chit-ua-aree | Internal Medicine | 33 Sukhumvit 3 (soi Nana Nua), Wattana, Bangkok, BANGKOK 10110 | 2008-08-04 |
| 1740302215 | Jamie Elizabeth Secol | Social Worker | 500 5th Ave Ste 923, New York, NY 10110-0999 | 2007-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689490 | Rebecca Papa | Speech-Language Pathologist | 219 E 66th St Apt 2a, New York, NY 10065-6430 | 2020-11-08 |
| 1457952368 | Dimitry Gomberg | Occupational Therapist | 320 W 31st St, New York, NY 10001-2705 | 2020-11-06 |
| 1699376491 | Unico Ipa LLC | Internal Medicine | 202 Canal St # 500, New York, NY 10013-4517 | 2020-11-06 |
| 1154922920 | Lamarr-renee Eanes | Doula | 116 W 72nd St Apt 3a, New York, NY 10023-3323 | 2020-11-06 |
| 1740881671 | Celeste Finelli | Student in an Organized Health Care Education/Training Program | 255 W 36th St Rm 201, New York, NY 10018-7700 | 2020-11-06 |
| 1386245215 | Vanessa Salazar | Social Worker | 55 E 115th St Apt 3i, New York, NY 10029-1179 | 2020-11-06 |
| 1407457310 | Omri Sulimani | Student in an Organized Health Care Education/Training Program | 1425 Madison Ave Ste L4-60, New York, NY 10029-6514 | 2020-11-06 |
| 1427659291 | Massiel Vasquez | Counselor | 590 Avenue of The Americas Fl 12, New York, NY 10011-2022 | 2020-11-06 |
| 1295336261 | Janet Esmas | Registered Nurse | 200 Haven Ave Apt 5r, New York, NY 10033-5308 | 2020-11-05 |
| 1205437423 | Christine Clement | Dietitian, Registered | 319 W 76th St Apt 4, New York, NY 10023-8045 | 2020-11-04 |
| Find all providers in NEW YORK | ||||
| Taxonomy Code | 103TP0016X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Prescribing (Medical) |
| Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders. |
| Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881101848 | Venus Hardy | Psychologist | 39 Bowery, 597, New York, NY 10002-6702 | 2017-12-29 |
| 1588031827 | Elizabeth Chapman | Psychologist | 1051 Riverside Dr # 111, C/o Jules Ranz, New York, NY 10032-1007 | 2015-08-21 |
| 1790023042 | David Michael Feuer | Psychologist | 30 W. 9th St., 5c, New York, NY 10011 | 2013-01-22 |
| 1205038130 | Albert M. Sax | Psychologist | 11 East 87th St, New York, NY 10128-0527 | 2007-06-04 |
| 1124237698 | Susan Margaret Deakins | Psychologist | 245 W 107th St Apt 3h, New York, NY 10025-3052 | 2007-05-22 |
| 1427274596 | Rivka Bekerman Greenberg | Psychologist | 350 W 57th St, 3a, New York, NY 10019-3758 | 2007-04-17 |
| 1689898983 | Jeanette E Cueva | Psychologist | 40 Park Ave Apt 1k, New York, NY 10016-3456 | 2007-04-11 |
| 1992762793 | Kent Shinbach | Psychologist | 14 E 75th St, 1a, New York, NY 10021-2625 | 2006-04-27 |
| 1639405699 | Nicole Alison Naggar | Psychologist | 1090 Amsterdam Ave, New York, NY 10025-1737 | 2009-10-27 |
| 1104076165 | Glenn A Brottman Md PC | Psychologist | 119 West 57th Street, Suite 1101, New York, NY 10019 | 2008-09-26 |
| Find all providers in NEW YORK | ||||
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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.