Shandel Douglas
APN | Nurse Practitioner - Psych/Mental Health | 9+ years Exp
310 Central Avenue, Suite 102, East Orange
New Jersey, 07018
973-395-1550
Shandel Douglas is a East Orange, New Jersey based nurse practitioner with 9 years of experience in Psych/Mental Health. 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 in New Jersey. Her current practice location is 310 Central Avenue, Suite 102, East Orange. Patients can reach her at 973-395-1550 or can fax her at 973-395-1556. Shandel Douglas is APN with specialization in Psych/Mental Health 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: | Psych/Mental Health Nurse Practitioner (PMHNP) |
| Gender: | Female |
| Credentials: | APN |
| Experience: | 9+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2016 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 310 Central Avenue, Suite 102, East Orange,
New Jersey, 07018 |
| Phone: | 973-395-1550 |
| Fax: | 973-395-1556 |
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: | 30 Sep, 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 Number | Specialization | State | Status | |
| 26NJ00747600 | Psych/Mental Health | New Jersey | Primary | |
| 26NJ00747600 | Primary Care | New Jersey | Secondary | |
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.
| Identifier | Type | State | Issuer |
| 0587613 | Medicaid | New 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
21 Edgewood Road,
Summit, New Jersey |
| Zip: | 07901 |
| Phone Number: | 973-395-1550 |
| Fax Number: | 973-395-1556 |
Patients can reach Shandel Douglas at
310 Central Avenue, Suite 102, East Orange, New Jersey or can
call to book an appointment on 973-395-1550.
Comments/ Reviews:
Patients can read all the reviews posted for Shandel Douglas below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Shandel Douglas. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.