Shandel Douglas

APN | Nurse Practitioner - Psych/Mental Health | 10+ years Exp

887 Kinderkamack Rd, River Edge
  New Jersey, 07661-2307
201-464-0860
Accepts Medicare Nurse Practitioner in River Edge, New Jersey.
Shandel Douglas is a River Edge, New Jersey based nurse practitioner with 10 years of experience as Psych/Mental Health NP. She completed her graduation in 2016. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Shandel Douglas is 26NJ00747600 for Psych/Mental Health NP in New Jersey. Her current practice location is 887 Kinderkamack Rd, River Edge. Patients can reach her at 201-464-0860. Shandel Douglas is APN with specialization in Psych/Mental Health NP and her NPI number (Unique professional ID assigned by NPPES) is 1649798455.
Shandel Douglas provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Shandel Douglas speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Shandel Douglas
Specialization: Nurse Practitioner - Psych/Mental Health (PMHNP)
Gender:Female
Credentials: APN
Experience: 10+ years
Medical School Attended:Other
Graduation Year:2016
Accepts Medicare Assignment:Yes
Practice Address:887 Kinderkamack Rd, River Edge,
New Jersey, 07661-2307
Phone:201-464-0860
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 7012273790
Enrollment ID: I20171113003306
NPI Number: 1649798455
NPI Enumeration Date: 31 Aug, 2017
NPI Last Update On: 31 Dec, 2025

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shandel Douglas are as mentioned below.
License NumberSpecializationStateStatus
26NJ00747600Psych/Mental Health NP New JerseyPrimary
26NJ00747600Primary Care NP New JerseySecondary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name with which Shandel Douglas is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Practitioner Support Services Llp (3375596984)121
Other Medical Identifiers:
Other legacy medical identifiers associated with Shandel Douglas such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
0587613MedicaidNew Jersey
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Shandel Douglas
887 Kinderkamack Rd,
River Edge, New Jersey
Zip: 07661-2307
Phone Number: 201-464-0860
Patients can reach Shandel Douglas at 887 Kinderkamack Rd, River Edge, New Jersey or can call to book an appointment on 201-464-0860.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.