Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fred Doulton

Individual provider Mental Health Counselor · NPI 1639754138

Fred Doulton is a Mental Health Counselor in Glen Head, New York. Practices as a sole proprietor and works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2021

Practice location Address checks out

102 Glen Cove Dr
Glen Head, NY 11545-1715
Phone: (516) 551-5493
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 110 Main St, Mineola, NY 11501-4000 — (516) 747-5644

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 011164 (NY)

Record details

NPI number1639754138
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 16, 2021
Last updated in NPPESMarch 16, 2021
Certification dateMarch 16, 2021
Mailing address102 Glen Cove Dr, Glen Head, NY 11545-1715

Other providers in Glen Head