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

Active since August 30, 2016
40 HOLLAND ST, SOMERVILLE, MA 02144(617) 629-6180(617) 629-6041 Get Directions Write a Review

NPPES record last updated: August 19, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 19, 2019, Jun 23, 2017, Aug 30, 2016 (3 updates tracked since 2016).

About Nicole Douglas Psyd NPPES

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

NICOLE DOUGLAS PSYD (NPI 1336695303) is an individual clinical provider in Somerville, Massachusetts, licensed in Massachusetts (11116) and active in the NPI registry since August 2016. She maintains a secondary practice location in Waltham.

NPPES Registry Identity

NPI1336695303
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameNICOLE DOUGLASCredential: PSYD
Location Address40 HOLLAND STSomerville, MA 02144-2705
Mailing Address40 Holland StSomerville, MA 02144-2705 · (176) 629-6180 · Fax (617) 629-6041
Phone(617) 629-6180
Fax(617) 629-6041
Sole ProprietorNo
Enumeration DateAugust 30, 2016
Last NPPES UpdateAugust 19, 20193 updates tracked since enumeration
✔ NPI 1336695303 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 MA · 11116
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
40 HOLLAND ST, Somerville, MA 02144
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Secondary Practice Location 1

Location 177 Rumford AveWaltham, MA 02453-3872 · Phone (781) 894-4325

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.

ELIZABETH AHLBORN NECHEV
Nurse Practitioner
40 HOLLAND ST
SOMERVILLE, MA 02144
Middlesex County (617) 657-6445
HENRY W STOLL PA
Physician Assistant (Medical)
40 HOLLAND ST
SOMERVILLE, MA 02144
Middlesex County (617) 629-6000
D. SCOTT GILBERT PA-C
Physician Assistant
40 HOLLAND ST
SOMERVILLE, MA 02144
Middlesex County (617) 654-7111
STEPHANIE E. NEALY RD, LDN
Dietitian, Registered
40 HOLLAND ST, NUTRITION
SOMERVILLE, MA 02144
Middlesex County (617) 629-6444
MARIA ELIZABETH HEDBERG FNP
Nurse Practitioner (Family)
40 HOLLAND ST
SOMERVILLE, MA 02144
Middlesex County (617) 629-6000
MRS. ANNETTE OHEARN 5532-DO-DO
Technician/Technologist (Optician)
40 HOLLAND ST
SOMERVILLE, MA 02144
Middlesex County (617) 629-6378
SHEENA ANN FREMAULT MACEDO FNP-C
Nurse Practitioner
40 HOLLAND ST
SOMERVILLE, MA 02144
Middlesex County (617) 629-6032
RICHARD MICHALOWSKI DMD
Dentist (General Practice)
40 HOLLAND ST
SOMERVILLE, MA 02144
Middlesex County (617) 629-6080

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 Nicole Douglas's NPI number?

The NPI number for Nicole Douglas is 1336695303. It was assigned to this individual provider in the NPPES registry on August 30, 2016.

Where is Nicole Douglas located?

Nicole Douglas practices at 40 Holland St, Somerville, MA 02144. The listed phone number is (617) 629-6180.

What is Nicole 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 Nicole Douglas was last updated on August 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.