FRED DOULTON
NPI 1639754138
Counselor - Mental Health in Glen Head, NY

Q: What is Fred Doulton's NPI number?

The NPI number for Fred Doulton is 1639754138. It was assigned to this individual provider in the NPPES registry on March 16, 2021.

Q: What is Fred Doulton's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Fred Doulton was last updated on March 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 March 16, 2021

102 GLEN COVE DR, GLEN HEAD, NY 11545(516) 551-5493 Get Directions Write a Review

NPPES record last updated: March 16, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Fred Doulton NPPES

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

FRED DOULTON (NPI 1639754138) is an individual mental health provider in Glen Head, New York, licensed in New York (011164) and active in the NPI registry since March 2021. He maintains a secondary practice location in Mineola.

NPPES Registry Identity

NPI1639754138

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameFRED DOULTON

Location Address102 GLEN COVE DRGlen Head, NY 11545-1715

Mailing Address102 Glen Cove DrGlen Head, NY 11545-1715 · (516) 551-5493

Phone(516) 551-5493

Sole ProprietorYes

Enumeration DateMarch 16, 2021

NPPES CertifiedMarch 16, 2021

✔ NPI 1639754138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NY · 011164

102 GLEN COVE DR, Glen Head, NY 11545

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Secondary Practice Location 1

Location 1110 Main StMineola, NY 11501-4000 · Phone (516) 747-5644 ext. 1628

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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 Fred Doulton's NPI number?

The NPI number for Fred Doulton is 1639754138. It was assigned to this individual provider in the NPPES registry on March 16, 2021.

Where is Fred Doulton located?

Fred Doulton practices at 102 Glen Cove Dr, Glen Head, NY 11545. The listed phone number is (516) 551-5493.

What is Fred Doulton's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Fred Doulton accept?

Health plans from Providence Health Plan list Fred Doulton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fred Doulton was last updated on March 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.