Michael D Doucette MD Prof Corp

Primary specialty

Medically Fragile Infants and Children Day CareTaxonomy code 261QM3000X

Legal business name

MICHAEL D DOUCETTE MD PROF CORP

Practice address

415 N State College Blvd
Adp Medical Group
Anaheim, CA 92806

Phone

(714) 758-1175

Fax

(714) 758-9201

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

Michael David Doucette, MDNPI 1336281989

Title

Pres

Phone

(714) 758-1175

Specialties & licenses 1

Addresses

Other names 1

• Acute & Diversified Psych Doing business as

Locations

Practitioners 3

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

• Michael D Doucette, MD

  • Psychiatry Physician
  • Anaheim, CA
  • NPI 1336281989
  NPD (past) Authorized official
• Donnau M Cooper, MFT

  • Marriage & Family Therapist
  • Anaheim, CA
  • NPI 1922140227
  NPD (past)
• G James J G Gruver

  • Psychologist
  • Anaheim, CA
  • NPI 1235271529
  NPD (past)

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326163148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N STATE COLLEGE BLVD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92806",
            "telephone_number": "714-758-1175",
            "fax_number": "714-758-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N STATE COLLEGE BLVD",
            "address_2": "ADP MEDICAL GROUP",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92806",
            "telephone_number": "714-758-1175",
            "fax_number": "714-758-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL D DOUCETTE MD PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOUCETTE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "714-758-1175",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM3000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medically Fragile Infants and Children Day Care",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Acute & Diversified Psych",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christina Meza
• Leslie Meza
• Lilia Meza
• Mi Young Chung DDS Inc
• Aisha Miah
• Michael K. Le, DDS, Inc
• Michael P Blum DDS a Professional Corporation
• Michael Poblete Optometric Corporation
• Amanda Mae Michael, M.D.
• Lee Michaels, CRNA

• Medically Fragile Infants and Children Day Care in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Medically Fragile Infants and Children Day Care in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.