Doublecare ABA Mi LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

DOUBLECARE ABA MI LLC

Doing business as

DoubleCare ABA

Practice address

77 Monroe Center St NW Ste 600
Grand Rapids, MI 49503-2911

Phone

(646) 762-1600

Fax

(646) 769-1655

NPI assigned

Jun 10, 2024

Last updated

Jun 10, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jacob Appel

Title

Manager

Phone

(646) 762-1600

Specialties & licenses 2

Addresses

Other names 1

• DoubleCare ABA Doing business as

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1326880568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 MONROE CENTER ST NW STE 600",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032911",
            "telephone_number": "646-762-1600",
            "fax_number": "646-769-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 MONROE CENTER ST NW STE 600",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032911",
            "telephone_number": "646-762-1600",
            "fax_number": "646-769-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUBLECARE ABA MI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "APPEL",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "646-762-1600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DoubleCare ABA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Harley Dean Dorman II, ED.D.
• Max Dormeville
• Tara Maeve Dornan, BA, QIDP
• Courtney Dotinga, NP
• Kaitlyn Doubek
• Madeline Doucet, DO
• Christopher Scot Doucette, LMSW
• Mary Doucette
• Bret Harwood Doud, MD
• David Joseph Doud, DO

• Clinic/Center in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.