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

Individual provider Mental Health Counselor · NPI 1336695303

Nicole Douglas, PSYD is a Mental Health Counselor in Somerville, Massachusetts. Works from 2 locations. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2016
Specialties on file
3
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

40 Holland St
Somerville, MA 02144-2705
Phone: (617) 629-6180
Fax: (617) 629-6041
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 77 Rumford Ave, Waltham, MA 02453-3872 — (781) 894-4325

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 11116 (MA)
Mental Health Counselor Taxonomy 101YM0800X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1336695303
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedAugust 30, 2016
Last updated in NPPESAugust 19, 2019

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