CHRISTOPHER DOUGLAS (NPI# 1205289188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205289188 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER DOUGLAS |
| Practice Address |
2900 W Prospect Rd Fort Lauderdale FL 33309-2519 |
| Mailing Address |
4740 N State Road 7 Suite 201 Lauderdale Lakes FL 33319-5839 |
| Practice Telephone | 9547315100 |
| Practice Fax Number | 9544973857 |
| Mailing Telephone | 9544864005 |
| Mailing Fax Number | 9544973857 |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2016-07-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
SW13779 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285273433 | Christopher A Douglas | Chiropractor | 2064 Us Highway 45 Byp S, Trenton, TN 38382-3507 | 2020-01-04 |
| 1023578754 | Christopher Douglas | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave, Chs 27-139, Los Angeles, CA 90095 | 2019-03-20 |
| 1770041485 | Christopher Michael Douglas | Physician Assistant | 9895 W Remington Pl, Littleton, CO 80128-6734 | 2019-03-12 |
| 1851833123 | Christopher Douglas | Physician Assistant | 2142 N Cove Blvd, Toledo, OH 43606-3895 | 2016-11-17 |
| 1295069607 | Christopher Douglas | Perfusionist | 31330 Schoolcraft Rd, Suite 200, Livonia, MI 48150-2041 | 2009-10-01 |
| 1427251511 | Christopher John Douglas | Internal Medicine | 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 2007-06-07 |
| 1275754269 | Christopher Dion Douglas | Marriage & Family Therapist | 6500 S Mooney Blvd, Suite B, Visalia, CA 93277-9535 | 2007-05-01 |
| Street Address |
2900 W PROSPECT RD |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33309-2519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922099290 | Maria A Gorelick | Specialist | 2900 W Prospect Rd, Fort Lauderdale, FL 33309-2519 | 2005-11-04 |
| 1871118463 | Kimberly L Allison | Social Worker | 2900 W Prospect Rd, Fort Lauderdale, FL 33309-2519 | 2020-06-10 |
| 1114552585 | Jennifer E Blake | Social Worker | 2900 W Prospect Rd, Fort Lauderdale, FL 33309-2519 | 2020-03-06 |
| 1124660352 | Sarah Burton | Counselor | 2900 W Prospect Rd, Fort Lauderdale, FL 33309-2519 | 2019-10-09 |
| 1528560307 | Adrianna N Brown | Social Worker | 2900 W Prospect Rd, Fort Lauderdale, FL 33309-2519 | 2018-03-07 |
| 1487154746 | Michelle Rose-marie Desarmes | Nurse Practitioner | 2900 W Prospect Rd, Fort Lauderdale, FL 33309-2519 | 2018-02-13 |
| 1902319700 | Gulay Ozcan | Counselor | 2900 W Prospect Rd, Fort Lauderdale, FL 33309-2519 | 2017-11-15 |
| 1447796610 | Lissety Aguirre-fallon | Counselor | 2900 W Prospect Rd, Fort Lauderdale, FL 33309-2519 | 2017-01-12 |
| 1942744701 | Luciangeli Flores | Case Manager/Care Coordinator | 2900 W Prospect Rd, Fort Lauderdale, FL 33309-2519 | 2016-12-14 |
| 1235672445 | Stacy F Riley | Counselor | 2900 W Prospect Rd, Fort Lauderdale, FL 33309-2519 | 2016-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942841507 | Integrity Home Care Plus LLC | In Home Supportive Care | 1451 W Cypress Road Ste 300, Fort Lauderdale, FL 33309 | 2019-10-04 |
| 1518519875 | Jordanna Bettencourt | Behavior Technician | 1000 Sw 65th St, Suite #201, Fort Lauderdale, FL 33309 | 2019-07-16 |
| 1114579752 | Jewel Porter | Behavior Technician | 1000 Nw 65th St., Suite #201, Fort Lauderda, FL 33309 | 2019-07-14 |
| 1003318049 | Tri County Pet LLC | Clinic/Center | 2122 W. Cypress Creek Road, Suite 210, Fort Lauderdale, FL 33309 | 2018-03-06 |
| 1821508722 | Rose Marie Cecile Dyer | Home Health Aide | 4217 Nw 37th Terrace, Lauderdale Lakes, FL 33309 | 2017-10-05 |
| 1245756790 | Kattys Elena Mendoza | Behavior Technician | 1001 W. Cypress Creek Rd., 120, Ft Lauderdale, FL 33309 | 2017-08-16 |
| 1669902847 | Sharon Desir | Social Worker | 2700 West Cypress Creek Road, Executive Court, B-106, Fort Lauderdale, FL 33309 | 2017-06-19 |
| 1184158503 | Rebecca Robin Washington | Behavioral Analyst | 1001 W Cypress Creek Rd #120, Fort Lauderdale, Fl 33309, Fort Lauderdale, FL 33309 | 2017-04-12 |
| 1124564281 | Alloy Behavioral Health Solutions, Inc | Specialist | 1835 S Perimeter Road Suite 170, Fort Lauderdale, FL 33309 | 2017-01-13 |
| 1740738855 | Christina Camarena | Behavior Technician | 6414 Nw 5th Way, Fort Lauderdale, FL 33309 | 2016-09-18 |
| Find all providers in zip 33309 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275134066 | Hyacinth Anne Morgan | Counselor | 1001 W Cypress Creek Rd Ste 302s, Fort Lauderdale, FL 33309-1950 | 2020-11-06 |
| 1871192203 | Kamari L Pasley | Counselor | 1900 Nw 16th Ct, Fort Lauderdale, FL 33311-4639 | 2020-10-17 |
| 1134746829 | Chinyere Tunsill | Counselor | 1000 Long Island Ave, Fort Lauderdale, FL 33312-2674 | 2020-06-29 |
| 1750906848 | Darcy Holm | Counselor | 3000 N Federal Hwy Ste 5, Fort Lauderdale, FL 33306-1416 | 2020-06-15 |
| 1356977078 | Herz Counseling Group, LLC | Counselor | 4390 N Federal Hwy Ste 208, Fort Lauderdale, FL 33308-5200 | 2020-03-13 |
| 1558997346 | Paulina Scaturro | Counselor | 4413 Ne 21st Ave, Fort Lauderdale, FL 33308-5603 | 2020-03-12 |
| 1144855925 | Victoria Baca | Counselor | 501 Ne 5th Ter Apt 314, Fort Lauderdale, FL 33301-0014 | 2020-03-11 |
| 1184254476 | Shaira A. Shah | Counselor | 2699 Stirling Rd Ste C307, Fort Lauderdale, FL 33312-6564 | 2020-01-25 |
| 1194364893 | Jennifer Tiech | Counselor | 2901 W Cypress Creek Rd Ste 123124, Fort Lauderdale, FL 33309-1730 | 2019-12-27 |
| 1205475167 | Tara Yombor | Counselor | 545 Sw 18th Ave Unit 34, Fort Lauderdale, FL 33312-7704 | 2019-12-24 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33309 |
Please comment or provide details below to improve the information on CHRISTOPHER DOUGLAS.
| 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.