IndividualActive
Judith Douglas, PHD
NPI 1679752406 · Psychologist · San Bernardino, CA
Judith Douglas, PHD is a Psychologist provider in San Bernardino, CA (NPI 1679752406).
Provider details
- NPI number
- 1679752406
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- Yes
- License
- PSY17053 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1800 Medical Center Drive
Suite 300
San Bernardino, CA 92411
Phone: (909) 887-6222
Fax: (909) 887-4565
Street-level locationGet directions
Mailing address
11083 Twilight Way
Moreno Valley, CA 92555-6594
Registry dates
- Enumerated
- 2007-10-29
- Last updated
- 2007-10-29
Frequently asked questions
- What is Judith Douglas's NPI number?
- Judith Douglas's National Provider Identifier (NPI) is 1679752406, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Judith Douglas's specialty?
- Judith Douglas is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Judith Douglas located?
- Judith Douglas's practice location on file with NPPES is 1800 Medical Center Drive, San Bernardino, CA 92411.
- What is Judith Douglas's phone number?
- The practice phone number listed in the NPPES registry for Judith Douglas is (909) 887-6222.
- Is Judith Douglas's NPI active?
- Yes — Judith Douglas's NPI (1679752406) is active in the NPPES registry as of the last update on 2007-10-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.