DR. PURAN DOUGLASS PSYD
NPI 1417209164
Psychologist - Clinical in Vienna, VA

Q: What is Puran Douglass's NPI number?

The NPI number for Puran Douglass is 1417209164. It was assigned to this individual provider in the NPPES registry on October 4, 2012.

Q: What is Puran Douglass'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 Puran Douglass was last updated on January 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since October 04, 2012

8233 OLD COURTHOUSE RD STE 102, VIENNA, VA 22182(703) 924-2370(703) 924-2374 Get Directions Write a Review

NPPES record last updated: January 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Puran Douglass Psyd NPPES

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

DR. PURAN DOUGLASS PSYD (NPI 1417209164) is an individual clinical provider in Vienna, Virginia, licensed in Virginia (0810004653) and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1417209164

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. PURAN DOUGLASSCredential: PSYD

Location Address8233 OLD COURTHOUSE RD STE 102Vienna, VA 22182-3816

Mailing Address8233 Old Courthouse Rd Ste 102Vienna, VA 22182-3816 · (703) 924-2370 · Fax (703) 924-2374

Phone(703) 924-2370

Fax(703) 924-2374

Sole ProprietorYes

Enumeration DateOctober 4, 2012

Last NPPES UpdateJanuary 2, 2024

NPPES CertifiedJanuary 2, 2024

✔ NPI 1417209164 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 VA · 0810004653

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 · Addiction (Substance Use Disorder)Taxonomy 103TA0400X

Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License 0810004653 (VA)

8233 OLD COURTHOUSE RD STE 102, Vienna, VA 22182

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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 Puran Douglass's NPI number?

The NPI number for Puran Douglass is 1417209164. It was assigned to this individual provider in the NPPES registry on October 4, 2012.

Where is Puran Douglass located?

Puran Douglass practices at 8233 Old Courthouse Rd Ste 102, Vienna, VA 22182. The listed phone number is (703) 924-2370.

What is Puran Douglass'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 Puran Douglass was last updated on January 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.