DR. PATRICE NICOLE DOUGLAS LP LMFT NPI 1275911257

NPI Information

  • NPI: 1275911257
  • Provider Name: DR. PATRICE NICOLE DOUGLAS, LP, LMFT
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 11175 AZUSA CT STE 110
    RANCHO CUCAMONGA, CA
    ZIP 91730
  • Phone: (909) 705-0773

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NPI Details

DR. Patrice Nicole Douglas, LP, LMFT is a clinical psychologist in Rancho Cucamonga, CA. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. DR. Patrice Nicole Douglas, LP, LMFT NPI is 1275911257. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11175 AZUSA CT STE 110
RANCHO CUCAMONGA, CA
ZIP 91730-933
Phone: (909) 705-0773

The NPI 1275911257 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 5/11/2015 and was last updated on 10/16/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthNo
2106H00000XMarriage & Family TherapistNo
3103TC0700XPsychologistClinical34948CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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