Douglas Psychological Services LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301013956 Issued in MI

Legal business name

DOUGLAS PSYCHOLOGICAL SERVICES LLC

Practice address

624 W Nepessing St
Suite L2
Lapeer, MI 48446-2090

Phone

(810) 664-8060

Fax

(810) 245-8352

NPI assigned

May 14, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Darryl Lee Douglas, PSYDNPI 1821269150

Title

Ceo

Phone

(810) 664-8060

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Darryl L Douglas, PSYD

  • Psychologist
  • Lapeer, MI
  • NPI 1821269150
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336953600000",
    "number": "1174882914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 W NEPESSING ST",
            "address_2": "SUITE L2",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484462090",
            "telephone_number": "810-664-8060",
            "fax_number": "810-245-8352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 W NEPESSING ST",
            "address_2": "SUITE L2",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484462090",
            "telephone_number": "810-664-8060",
            "fax_number": "810-245-8352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-14",
        "last_updated": "2012-05-14",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "810-664-8060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301013956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Doman Dental Care
• Danielle Doman, DDS
• Kimberly Dombrowski
• Gayle E Donath, LPN
• Casey Donovan, ATC, CSCS
• Darryl L Douglas, PSYD
• Kaitlyn Mae Dowdall
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• DPT Holdings LLC
• Dr Edward Sawicki DDS

• Clinical Psychologist in Lapeer, MI
• Providers in Lapeer, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.