MICHAEL ADAM DOUGLAS (NPI# 1073736559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073736559 |
| Entity Type | Individual |
| Full Name | MICHAEL ADAM DOUGLAS |
| Credential | PHD |
| Practice Address |
11704 Wilshire Blvd Suite 255 Los Angeles CA 90025-1507 |
| Practice Telephone | 3104051948 |
| Mailing Telephone | 3104051948 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2007-12-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY 20495 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437203544 | Michael Kirk Douglas | Counselor | 1303 Kent Avenue, Baltimore, MD 21207-4828 | 2007-01-23 |
| 1932296373 | Michael Douglas | Internal Medicine | 1920 Gunbarrel Rd, Suite 110, Chattanooga, TN 37421-3100 | 2006-10-06 |
| 1902907454 | Michael Lee Douglas | Family Medicine | 1110 Bergslien Street, Baldwin, WI 54002 | 2006-09-26 |
| 1407853088 | Michael L Douglas | Chiropractor | 4140 Nw 12th St, Lauderhill, FL 33313-5816 | 2005-06-28 |
| 1497246011 | Michael Douglas II | Case Manager/Care Coordinator | 2116 Justice St, Monroe, LA 71201-3618 | 2018-05-21 |
| 1639523665 | Michael Stephen Douglas | Anesthesiology | 11234 Anderson St, Department of Anesthesiology, Loma Linda, CA 92354 | 2016-04-15 |
| 1972908770 | Michael Douglas Jr. | Counselor | 1845 Grandstand Place, Elgin, IL 60123 | 2014-10-23 |
| 1902169543 | Michael L Douglas | Urology | 425 Bmh Physicians Office Bldg, Maryville, TN 37804 | 2012-06-19 |
| 1841572856 | Michael Anthony Douglas | Counselor | 4760 Sepulveda Blvd, Culver City, CA 90230-4820 | 2011-09-15 |
| 1659679785 | Michael L Douglas | Counselor | 1523 N Boston Pl, Tulsa, OK 74106-4103 | 2011-03-14 |
| Street Address |
11704 WILSHIRE BLVD SUITE 255 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90025-1507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356426233 | Yong Hwan Park | Chiropractor | 11704 Wilshire Blvd, Suite 265, Los Angeles, CA 90025-1507 | 2006-10-26 |
| 1700247871 | Neurosleep Solutions | Internal Medicine | 11704 Wilshire Blvd, Suite 210, Los Angeles, CA 90025-1507 | 2016-03-16 |
| 1841622461 | Bita S Yadidi | Acupuncturist | 11704 Wilshire Blvd, Suite 293, Los Angeles, CA 90025-1507 | 2013-08-06 |
| 1326391251 | Magdalena Isabel Quintanilla | Physical Therapist | 11704 Wilshire Blvd, Los Angeles, CA 90025-1507 | 2012-10-16 |
| 1811104631 | Yong Hwan Park, Dc | Chiropractor | 11704 Wilshire Blvd, Suite 265, Los Angeles, CA 90025-1507 | 2007-05-17 |
| 1538285531 | Dana Churchill | Naturopath | 11704 Wilshire Blvd, D202, Los Angeles, CA 90025-1507 | 2007-03-21 |
| 1285771337 | Yoojin Kim | Acupuncturist | 11704 Wilshire Blvd, Suite 265, Los Angeles, CA 90025-1507 | 2007-01-30 |
| 1174681621 | Susanne Linda Ternovsky | Dentist | 11704 Wilshire Blvd, Suite 290, Los Angeles, CA 90025 | 2006-12-05 |
| 1962586057 | Christine Paoletti | Obstetrics & Gynecology | 11704 Wilshire Blvd, Suite 202, Los Angeles, CA 90025-1507 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
| 1245852599 | Maureen Bridget Mcglynn | Marriage & Family Therapist | 1531 Purdue Avenue, Los Angeles, CA 90025 | 2020-05-09 |
| 1578118857 | Gregory J Bogie | Physical Therapist | 10351 Santa Monica Blvd. Suite 101, Los Angeles, CA 90025 | 2019-08-05 |
| 1518527712 | David Allen Goldstein | Marriage & Family Therapist | 12301 Wilshire Blvd., Suite 515, Los Angeles, CA 90025 | 2019-06-19 |
| 1386104875 | Kevin Meir Youssefzadeh | Student in an Organized Health Care Education/Training Program | 304 Dowlen Dr, Los Angeles, CA 90025 | 2019-03-21 |
| 1336609189 | Psychotherapy Center for Healing and Personal Growth | Psychologist | 2001 S. Barington Ave Suite 222, Los Angeles, CA 90025 | 2019-03-20 |
| 1477028819 | Flora Ma | Nurse Practitioner | 1726 Purdue Ave, Apt 2, Los Angeles, CA 90025 | 2018-10-12 |
| 1457834285 | Yeesul Yoo | Chiropractor | 2001 S. Barrington Ave Suite 101, Los Angeles, CA 90025 | 2018-09-07 |
| 1902387160 | Angelica Carmen Regalado | Behavior Technician | 7400 Pacific Blvd. Suite A & B, Walnut Park, CA 90025 | 2018-08-26 |
| 1033603378 | Craig Allen Gillett | Marriage & Family Therapist | 11847 Wilshire Blvd., #300, Los Angeles, CA 90025 | 2018-06-20 |
| Find all providers in zip 90025 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
| 1851990626 | Sarah R Martin | Psychologist | 650 Charles E Young Dr S # 12-096, Los Angeles, CA 90095-8347 | 2020-10-22 |
| 1184223851 | Emily Jenchura | Psychologist | 11301 Wilshire Blvd (116b, Rm. A-130), Los Angeles, CA 90073 | 2020-10-22 |
| 1679189377 | Dr. Sandra Jeanne Brim, Ph.d. | Psychologist | 11601 Gorham Ave Apt 1, Los Angeles, CA 90049-4738 | 2020-09-17 |
| 1194330274 | Marilyn S Zweifach | Psychologist | 3606 Barry Avenue, Los Angeles, CA 90066 | 2020-09-15 |
| 1538787874 | Molly Burrets | Psychologist | 5619 N Figueroa St Apt 219, Los Angeles, CA 90042-4979 | 2020-07-13 |
| 1770100737 | Mary Carde | Psychologist | 1572 Ensley Ave, Los Angeles, CA 90024-5325 | 2020-06-25 |
| 1134745193 | Bloom Psychology, Inc. | Psychologist | 3800 Barham Blvd Ste 420, Los Angeles, CA 90068-1042 | 2020-06-24 |
| 1639799406 | Joseph Aguayo | Psychologist | 11849 W Olympic Blvd Ste 202, Los Angeles, CA 90064-1148 | 2020-04-22 |
| 1912536020 | Butterflly Health, Inc. | Psychologist | 3530 Wilshire Blvd Ste 1650, Los Angeles, CA 90010-2371 | 2020-04-02 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90025 |
Please comment or provide details below to improve the information on MICHAEL ADAM DOUGLAS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.