Active NPI
Douglas Psychotherapy Services LLC
- Clinical Social Worker
- Troy, MI
National Provider Identifier
1235018391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- DOUGLAS PSYCHOTHERAPY SERVICES LLC
- Practice address
- 1166 E Big Beaver Rd
Troy, MI 48083-1934 - Phone
- (248) 770-5816
- NPI assigned
- Sep 1, 2025
- Last updated
- Nov 6, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jeffrey Douglas Jr., LMSW
- Title
- Owner
- Phone
- (248) 766-1563
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
1166 E Big Beaver Rd
Troy, MI 48083-1934
Mailing address
858 Lynhaven CT
Rochester Hills, MI 48307-3028
Phone (248) 766-1563
National Provider Directory
National Provider DirectoryLocations
1166 E Big Beaver Rd
Troy, MI 48083
Phone (248) 770-5816
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756684800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762387200000",
"number": "1235018391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "858 LYNHAVEN CT",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483073028",
"telephone_number": "248-766-1563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1166 E BIG BEAVER RD",
"city": "TROY",
"state": "MI",
"postal_code": "480831934",
"telephone_number": "248-770-5816"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOUGLAS PSYCHOTHERAPY SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-01",
"last_updated": "2025-11-06",
"certification_date": "2025-11-06",
"status": "A",
"authorized_official_last_name": "DOUGLAS",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "248-766-1563",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "LMSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.