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

Mr. Kobie I Douglas, MD

Individual provider Psychiatry Physician · NPI 1497850663

Mr. Kobie I Douglas, MD is a Psychiatry in Gary, Indiana. Graduated from Howard University College of Medicine in 2000, 26 years ago. Practices with Southlake Community Mental Health Center Inc, a 38-clinician group and accepts Medicare assignment. Licensed in Illinois and Indiana.

Years since qualifying
26
Trained at
Howard University College of Medicine
Licensed in
IL, IN
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1100 W 6th Ave
Gary, IN 46402-1711
Phone: (219) 885-4264
Fax: (219) 880-0182
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 01071030A (IN)
Psychiatry Physician Taxonomy 2084P0800X · Licence 036-115467 (IL)

Record details

NPI number1497850663
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 13, 2006
Last updated in NPPESNovember 22, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolHOWARD UNIVERSITY COLLEGE OF MEDICINE
Graduated 2000 (26 years in practice)
Group practice Southlake Community Mental Health Center Inc — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Gary