JACQUELINE KATHLEEN DOUGLAS PHD
NPI 1275398679
Psychologist - Clinical in Annapolis, MD

Active since February 15, 2024
2152 RENARD CT, ANNAPOLIS, MD 21401(410) 980-2014 Get Directions Write a Review

NPPES record last updated: February 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacqueline Kathleen Douglas Phd NPPES

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

JACQUELINE KATHLEEN DOUGLAS PHD (NPI 1275398679) is an individual clinical provider in Annapolis, Maryland, licensed in Maryland (07058) and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1275398679
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameJACQUELINE KATHLEEN DOUGLASCredential: PHD
Location Address2152 RENARD CTAnnapolis, MD 21401-6756
Mailing Address31 Windward DrSeverna Park, MD 21146-2442
Sole ProprietorYes
Enumeration DateFebruary 15, 2024
NPPES CertifiedFebruary 15, 2024
NPI 1275398679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in MD · 07058
Definition

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.

Also ListedPsychologist · Exercise & SportsTaxonomy 103TE1100X · License 07058 (MD)
2152 RENARD CT, Annapolis, MD 21401

Other Providers at the Same Location NPPES 4

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

Clinic/Center (Physical Therapy)
2152 RENARD CT
ANNAPOLIS, MD 21401
Physical Therapist
2152 RENARD CT
ANNAPOLIS, MD 21401
Physical Therapist
2152 RENARD CT
ANNAPOLIS, MD 21401
Physical Therapist
2152 RENARD CT
ANNAPOLIS, MD 21401

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 Jacqueline Douglas's NPI number?

The NPI number for Jacqueline Douglas is 1275398679. It was assigned to this individual provider in the NPPES registry on February 15, 2024.

Where is Jacqueline Douglas located?

Jacqueline Douglas practices at 2152 Renard Ct, Annapolis, MD 21401. The listed phone number is (410) 980-2014.

What is Jacqueline Douglas's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Jacqueline Douglas was last updated on February 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.