Samuel Douglas (NPI# 1801104781, PAC ID# 9133416969) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1801104781 |
| PAC ID by PECOS | 9133416969 |
| Professional Enrollment ID | I20160922001079 |
| Full Name | Samuel Douglas |
| Organization Legal Name | THE FIFTH AVENUE COUNSELING CENTER, INC. |
| Address |
5 E 17th St Fl 2 New York NY 10003-1949 |
| Phone Number | 2129892990 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 9739246125 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5 E 17th St, Fl 2, New York, NY 10003-1949 | 2129892990 | THE FIFTH AVENUE COUNSELING CENTER, INC. |
| 5 E 17th St, New York, NY 10003-1949 | 2129892990 | THE FIFTH AVENUE COUNSELING CENTER, INC. |
| Organization Legal Name | THE FIFTH AVENUE COUNSELING CENTER, INC. |
| Physicians | 30 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zebib Abraham | Psychiatry | The Fifth Avenue Counseling Center, Inc. | 5 E 17th St, Fl 2, New York, NY 10003-1949 |
| Mindy H Chettih | Clinical Social Worker | The Fifth Avenue Counseling Center, Inc. | 5 E 17th St, Fl 2, New York, NY 10003-1949 |
| Jennifer Szymaszek | Clinical Social Worker | The Fifth Avenue Counseling Center, Inc. | 5 E 17th St, Fl 2, New York, NY 10003-1949 |
| Samantha R Sculnick | Clinical Social Worker | The Fifth Avenue Counseling Center, Inc. | 5 E 17th St, Fl 2, New York, NY 10003-1949 |
| Jason J Shimiaie | Psychiatry | The Fifth Avenue Counseling Center, Inc. | 5 E 17th St, Fl 2, New York, NY 10003-1949 |
| Danielle M Carpita | Clinical Social Worker | The Fifth Avenue Counseling Center, Inc. | 5 E 17th St, Fl 2, New York, NY 10003-1949 |
| Maayan Tregerman | Clinical Social Worker | The Fifth Avenue Counseling Center, Inc. | 5 E 17th St, Fl 2, New York, NY 10003-1949 |
| Leslie Q Wheeler | Clinical Social Worker | The Fifth Avenue Counseling Center, Inc. | 5 E 17th St, Fl 2, New York, NY 10003-1949 |
| Ashley Lambert | Clinical Social Worker | The Fifth Avenue Counseling Center, Inc. | 5 E 17th St, Fl 2, New York, NY 10003-1949 |
| Alexander Beznes | Clinical Social Worker | The Fifth Avenue Counseling Center, Inc. | 5 E 17th St, Fl 2, New York, NY 10003-1949 |
| Street Address |
5 E 17TH ST FL 2 |
| City | NEW YORK |
| State | NY |
| Zip | 10003-1949 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zebib Abraham | Psychiatry | The Fifth Avenue Counseling Center, Inc. | 5 E 17th St, Fl 2, New York, NY 10003-1949 |
| Mindy H Chettih | Clinical Social Worker | The Fifth Avenue Counseling Center, Inc. | 5 E 17th St, Fl 2, New York, NY 10003-1949 |
| Jennifer Szymaszek | Clinical Social Worker | The Fifth Avenue Counseling Center, Inc. | 5 E 17th St, Fl 2, New York, NY 10003-1949 |
| Samantha R Sculnick | Clinical Social Worker | The Fifth Avenue Counseling Center, Inc. | 5 E 17th St, Fl 2, New York, NY 10003-1949 |
| Jason J Shimiaie | Psychiatry | The Fifth Avenue Counseling Center, Inc. | 5 E 17th St, Fl 2, New York, NY 10003-1949 |
| Danielle M Carpita | Clinical Social Worker | The Fifth Avenue Counseling Center, Inc. | 5 E 17th St, Fl 2, New York, NY 10003-1949 |
| Maayan Tregerman | Clinical Social Worker | The Fifth Avenue Counseling Center, Inc. | 5 E 17th St, Fl 2, New York, NY 10003-1949 |
| Leslie Q Wheeler | Clinical Social Worker | The Fifth Avenue Counseling Center, Inc. | 5 E 17th St, Fl 2, New York, NY 10003-1949 |
| Ashley Lambert | Clinical Social Worker | The Fifth Avenue Counseling Center, Inc. | 5 E 17th St, Fl 2, New York, NY 10003-1949 |
| Alexander Beznes | Clinical Social Worker | The Fifth Avenue Counseling Center, Inc. | 5 E 17th St, Fl 2, New York, NY 10003-1949 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shilpi B Ahuja | Pulmonary Disease | Icahn School of Medicine At Mount Sinai | 1 St Ave and 16th St, New York, NY 10003 |
| Jerome D Taylor | General Surgery | Icahn School of Medicine At Mount Sinai | 1 St Ave At 16th St, Surgery Dept, New York, NY 10003 |
| Jessica L Barest | Ophthalmology | 310 E 214th St, New York, NY 10003 | |
| Erica Grabscheid | Hospitalist | Icahn School of Medicine At Mount Sinai | 1 Ave At 16th St, New York, NY 10003 |
| Desiree Chow | Internal Medicine | Icahn School of Medicine At Mount Sinai | 1 Ave At 16th St, New York, NY 10003 |
| Erin P Patton | Rheumatology | Icahn School of Medicine At Mount Sinai | 1 St Ave and 16th St, New York, NY 10003 |
| Lauren Maramara | Obstetrics/gynecology | Icahn School of Medicine At Mount Sinai | 16 Th St and 1st Ave, New York, NY 10003 |
| Benjamin Lawrence Kliot | Emergency Medicine | Fpa Hospital Based | 1 Ave At 16th St, New York, NY 10003 |
| Saadia Akhtar | Emergency Medicine | Fpa Hospital Based | 1 Ave At 16th St, New York, NY 10003 |
| Christopher R Taurani | Hospitalist | Icahn School of Medicine At Mount Sinai | 1 Ave At 16th St, New York, NY 10003 |
| Find all physicians in zip 10003 | |||
| City | NEW YORK |
| Zip Code | 10003 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | NEW YORK + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Samuel Douglas.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.