NICOLE DOUGLAS PSYD
NPI 1336695303
Psychologist - Clinical in Somerville, MA

NPI Status: Active since August 30, 2016

Contact Information

40 HOLLAND ST
SOMERVILLE, MA
ZIP 02144
Phone: (617) 629-6180
Fax: (617) 629-6041

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  • Individual
  • Female
  • Psychologist
  • Clinical

About NICOLE DOUGLAS

This page provides the complete NPI Profile along with additional information for Nicole Douglas, a provider established in Somerville, Massachusetts with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1336695303 assigned on August 2016. The practitioner's primary taxonomy code is 103TC0700X with license number 11116 (MA). The provider is registered as an individual and her NPI record was last updated 7 years ago.

NPI
1336695303
Provider Name
NICOLE DOUGLAS PSYD
Gender
Female
Entity Type
Individual
Location Address
40 HOLLAND ST SOMERVILLE, MA 02144
Location Phone
(617) 629-6180
Location Fax
(617) 629-6041
Mailing Address
40 HOLLAND ST SOMERVILLE, MA 02144
Mailing Phone
(176) 629-6180
Mailing Fax
(617) 629-6041
Is Sole Proprietor?
No
Enumeration Date
08-30-2016
Last Update Date
08-19-2019
Code Navigator

A clinical psychologist like Nicole Douglas assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

Location Map

Secondary Locations

  • 77 Rumford Ave
    Waltham, MA 02453
    (781) 894-4325

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Clinical

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
License No.
11116
License State
MA
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

 
2390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1336695303, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
3
Doubled → 6
Pos 4
6
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
9
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
3
Unchanged
Pos 9
0
Doubled → 0
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 6 → 12 → 3 5 → 10 → 1 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 6 + 6 + 1 + 2 + 9 + 1 + 0 + 3 + 0 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1336695303.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pediatrics
40 HOLLAND ST
SOMERVILLE, MA 02144
Pediatrics
40 HOLLAND ST
SOMERVILLE, MA 02144
Speech-Language Pathologist
40 HOLLAND ST
SOMERVILLE, MA 02144
Dietitian, Registered
40 HOLLAND ST
SOMERVILLE, MA 02144
Physical Therapist
40 HOLLAND ST
SOMERVILLE, MA 02144
Physical Therapy Assistant
40 HOLLAND ST
SOMERVILLE, MA 02144
Internal Medicine
40 HOLLAND ST, INTERNAL MEDICINE
SOMERVILLE, MA 02144
Internal Medicine
40 HOLLAND ST, INTERNAL MEDICINE
SOMERVILLE, MA 02144
Obstetrics & Gynecology
40 HOLLAND ST
SOMERVILLE, MA 02144
Registered Nurse (Psychiatric/Mental Health, Adult)
40 HOLLAND ST
SOMERVILLE, MA 02144
Social Worker (Clinical)
40 HOLLAND ST
SOMERVILLE, MA 02144
Registered Nurse (Psychiatric/Mental Health)
40 HOLLAND ST
SOMERVILLE, MA 02144
Social Worker (Clinical)
40 HOLLAND ST
SOMERVILLE, MA 02144
Social Worker (Clinical)
40 HOLLAND ST
SOMERVILLE, MA 02144
Social Worker (Clinical)
40 HOLLAND ST
SOMERVILLE, MA 02144
Nutritionist
40 HOLLAND ST
SOMERVILLE, MA 02144
Obstetrics & Gynecology
40 HOLLAND ST
SOMERVILLE, MA 02144
Neuromusculoskeletal Medicine, Sports Medicine
40 HOLLAND ST
SOMERVILLE, MA 02144
Optometrist
40 HOLLAND ST
SOMERVILLE, MA 02144
Optometrist
40 HOLLAND ST
SOMERVILLE, MA 02144

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336695303, enumerated as an "individual" on August 30, 2016.

The provider is located at 40 HOLLAND ST SOMERVILLE, MA 02144 and the phone number is (617) 629-6180.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.