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SADE L DOUGLAS
NPI 1174220172
Counselor - Mental Health in Roxbury, MA

Active since February 09, 2023
504 DUDLEY ST, ROXBURY, MA 02119(617) 445-6655 Get Directions Write a Review

NPPES record last updated: February 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sade L Douglas NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SADE L DOUGLAS (NPI 1174220172) is an individual mental health provider in Roxbury, Massachusetts, licensed in Massachusetts (228615) and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1174220172
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSADE L DOUGLAS
Location Address504 DUDLEY STRoxbury, MA 02119-2732
Mailing Address504 Dudley StRoxbury, MA 02119-2732
Phone(617) 445-6655
Sole ProprietorYes
Enumeration DateFebruary 9, 2023
NPPES CertifiedFebruary 9, 2023
✔ NPI 1174220172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MA · 228615
504 DUDLEY ST, Roxbury, MA 02119
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMMA SULLIVAN
Counselor (Mental Health)
504 DUDLEY ST
ROXBURY, MA 02119
Suffolk County (617) 445-6655
PHARA JEAN DENIS
Counselor (Mental Health)
504 DUDLEY ST
ROXBURY, MA 02119
Suffolk County (617) 445-6655
DOMINIQUE RENEE STEWART
Counselor
504 DUDLEY ST
ROXBURY, MA 02119
Suffolk County (617) 445-6655
BLANCA PUMAREJO
Counselor
504 DUDLEY ST
ROXBURY, MA 02119
Suffolk County (617) 955-2427
XINYUAN LI
Counselor
504 DUDLEY ST
ROXBURY, MA 02119
Suffolk County (617) 445-6655
LUIS RAFAEL CRUZ
Counselor
504 DUDLEY ST
ROXBURY, MA 02119
Suffolk County (786) 348-4412
ANTOINETTE WEBSTER
Counselor
504 DUDLEY ST
ROXBURY, MA 02119
Suffolk County (617) 445-6655
TE'SHAWN NICOLE CONLEY
Counselor (Mental Health)
504 DUDLEY ST
ROXBURY, MA 02119
Suffolk County (857) 919-7922

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sade Douglas's NPI number?

The NPI number for Sade Douglas is 1174220172. It was assigned to this individual provider in the NPPES registry on February 9, 2023.

Where is Sade Douglas located?

Sade Douglas practices at 504 Dudley St, Roxbury, MA 02119. The listed phone number is (617) 445-6655.

What is Sade Douglas's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Sade Douglas was last updated on February 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.