DR. PATRICE NICOLE DOUGLAS LP, LMFT
NPI 1275911257
Psychologist - Clinical in Rancho Cucamonga, CA

Q: What is Patrice Douglas's NPI number?

The NPI number for Patrice Douglas is 1275911257. It was assigned to this individual provider in the NPPES registry on May 11, 2015.

Q: What is Patrice Douglas's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Patrice Douglas was last updated on October 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.

Active since May 11, 2015PECOS Enrolled

11175 AZUSA CT STE 110, RANCHO CUCAMONGA, CA 91730(909) 705-0773 Get Directions Write a Review

NPPES record last updated: October 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 15, 2024, Feb 22, 2020, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

On this page

About Dr. Patrice Nicole Douglas Lp, Lmft NPPES

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

DR. PATRICE NICOLE DOUGLAS LP, LMFT (NPI 1275911257) is an individual clinical provider in Rancho Cucamonga, California, licensed in California (34948) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Riverside.

NPPES Registry Identity

NPI1275911257

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. PATRICE NICOLE DOUGLASCredential: LP, LMFT

Location Address11175 AZUSA CT STE 110Rancho Cucamonga, CA 91730-4933

Mailing Address8350 Archibald Ave Ste 100Rancho Cucamonga, CA 91730-3670 · (909) 705-0773

Phone(909) 705-0773

Sole ProprietorNo

Enumeration DateMay 11, 2015

Last NPPES UpdateOctober 16, 20244 updates tracked since enumeration

NPPES CertifiedOctober 16, 2024

✔ NPI 1275911257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · 34948

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 ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedMarriage & Family TherapistTaxonomy 106H00000X

11175 AZUSA CT STE 110, Rancho Cucamonga, CA 91730

Open in Google Maps ↗

Secondary Practice Location 1

Location 14164 Brockton AveRiverside, CA 92501-3400 · Phone (951) 683-5193 ext. 331

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Patrice Nicole Douglas Lp, Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91730 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$179.42 typical visit price

range $59.60 – $179.42

Typical copayment $44.85 (range $14.90 – $44.85)

Most-billed visit code 99205

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MARQUAN THOMAS

Community Health Worker