DR. JUDITH SANDRA DOUGLAS PHD
NPI 1679752406
Psychologist in San Bernardino, CA

Active since October 29, 2007
1800 MEDICAL CENTER DRIVE, SUITE 300, SAN BERNARDINO, CA 92411(909) 887-6222(909) 887-4565 Get Directions Write a Review

NPPES record last updated: October 29, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Judith Sandra Douglas Phd NPPES

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

DR. JUDITH SANDRA DOUGLAS PHD (NPI 1679752406) is an individual psychologist in San Bernardino, California, licensed in California (PSY17053) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1679752406
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. JUDITH SANDRA DOUGLASCredential: PHD
Location Address1800 MEDICAL CENTER DRIVE, SUITE 300San Bernardino, CA 92411
Mailing Address11083 Twilight WayMoreno Valley, CA 92555-6594 · (951) 242-8867 · Fax (951) 242-8867
Fax(909) 887-4565
Sole ProprietorYes
Enumeration DateOctober 29, 2007
NPI 1679752406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY17053
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1800 MEDICAL CENTER DRIVE, San Bernardino, CA 92411

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
1800 MEDICAL CENTER DRIVE, SUITE 300
SAN BERNARDINO, CA 92411

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 Judith Douglas's NPI number?

The NPI number for Judith Douglas is 1679752406. It was assigned to this individual provider in the NPPES registry on October 29, 2007.

Where is Judith Douglas located?

Judith Douglas practices at 1800 Medical Center Drive Suite 300, San Bernardino, CA 92411. The listed phone number is (909) 887-6222.

What is Judith Douglas's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Judith Douglas was last updated on October 29, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.