ROSSLYN DOUGLAS (PSYD) – Clinical Psychologist, NPI 1437492311

ROSSLYN DOUGLAS (PSYD) is a healthcare provider. based in League city, Texas. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSYD. They hold a License No. 36396 (TX). The NPI Number for ROSSLYN DOUGLAS (PSYD) is 1437492311

Main info

Female
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
ROSSLYN DOUGLAS (PSYD)
NPI
1437492311
Phone
(832) 425-8363
Address
1503 PALO DURO CANYON DR
Enumeration Date
29 March 2013
Last Update Date
15 April 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2143485557
Graduation Year
2010 (16 years ago)
PAC ID
9830323658
Group Practice PAC ID
5092863662
Professional Enrollment ID
I20131010001320
Address ID
TX752314461DA8140XLNXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:13State licenses:1Digital endpointsOther names

1,347 CLINICAL PSYCHOLOGIST in TX

Provider Addresses for ROSSLYN DOUGLAS (PSYD)

  • 1503 PALO DURO CANYON DR

    LEAGUE CITY, TX 775736498

    Phone: (832) 425-8363

    Type: Mailing

  • 2600 S SHORE BLVD STE 300

    LEAGUE CITY, TX 775732944

    Phone: (832) 425-8363

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-10-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20131010001320IClinical PsychologistTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
96137Administration of psychological or neuropsychological test, each additional 30 minutes25664$0
90791Psychiatric diagnostic evaluation6464$0
96130Evaluation of psychological test, first hour6464$0
96131Evaluation of psychological test, each additional hour6464$0
96136Administration of psychological or neuropsychological test, first 30 minutes6464$0
View full utilization report →

Insurance plans in this area (ZIP 77573)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092863662View full group profile
NameSpecialtyState
Clinical PsychologistTX
Registered Dietitian Or Nutrition ProfessionalTX
Clinical PsychologistIL
Clinical PsychologistTX
Clinical PsychologistTX
Clinical PsychologistMO
Clinical PsychologistTX
Clinical PsychologistTX
Clinical PsychologistTX

Reviews

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Frequently asked questions

Can I verify ROSSLYN DOUGLAS (PSYD) with an NPI only?
You can start verification with NPI 1437492311 for ROSSLYN DOUGLAS (PSYD), then check state licensing separately.
Does the file indicate ROSSLYN DOUGLAS (PSYD) is practicing under active NPI?
Directory data currently reports ROSSLYN DOUGLAS (PSYD) as active.
What is ROSSLYN DOUGLAS (PSYD)'s primary classification?
Clinical Psychologist is the headline specialty for ROSSLYN DOUGLAS (PSYD) here. Clinical services aligned with this taxonomy classification.
What address line appears for ROSSLYN DOUGLAS (PSYD)?
ROSSLYN DOUGLAS (PSYD)'s geographic hint is League City, Texas in our summary view.
Why does ROSSLYN DOUGLAS (PSYD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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