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Deactivated NPI 1588759013 Deactivated / Inactive NPI Female Practitioner

Dr. Waltee Douglas , PhD

Psychologist • Gary, IN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Waltee Douglas has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 03, 2006
NPI Deactivation Date March 12, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Waltee Douglas, PhD was a registered Psychologist practicing in Gary, IN. Throughout an active medical career spanning 20 years, Dr. Douglas provided care at the practice location at 667 VAN BUREN until profile deactivation on 2026-03-12.

Practice Location & Contact Primary Location

Practice Address

667 Van Buren

Gary, IN 46402

Telephone 2198855819
Fax 2198855821
Associated Practice Facility / Clinic
🏢 Corinthian Christian Center Facility NPI 1679623235

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Gary, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Gary, IN (473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License IN 20040617A

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 12, 2026

Record deactivated on March 12, 2026

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 667 VAN BUREN, GARY, IN 46402 (Tel: 2198855819)

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Updated Business Mailing Address July 08, 2007

Registered at 667 VAN BUREN, P.O. BOX 9135, GARY, IN 46402 (Tel: 2198855819)

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Provider Name / Credentials Updated July 08, 2007

Recorded as WALTEE DOUGLAS, PHD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #20040617A in IN)

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Initial NPI Registration & Enumeration October 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1588759013
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 03, 2006
Last Update: July 08, 2007
Deactivation Date: March 12, 2026

Mailing Address

667 Van Buren, P.o. Box 9135

Gary, IN 46402

Phone: 2198855819

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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