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
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:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.