Douglas Scott Dumas, MA

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP3301 Issued in MN

Practice address

2432 Seabury Ave
Minneapolis, MN 55406-1454

Phone

(612) 729-9869

Fax

(612) 729-0201

NPI assigned

Feb 14, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Deep River Inc.

  • Community/Behavioral Health Agency
  • Minneapolis, MN
  • NPI 1902194608
  NPD (past)

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

{
    "created_epoch": "1518566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518566400000",
    "number": "1366942591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2432 SEABURY AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554061454",
            "telephone_number": "612-729-9869",
            "fax_number": "612-729-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2432 SEABURY AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554061454",
            "telephone_number": "612-729-9869",
            "fax_number": "612-729-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMAS",
        "first_name": "DOUGLAS",
        "middle_name": "SCOTT",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-14",
        "last_updated": "2018-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP3301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCED PSYCHOLOGIST",
            "identifier": "LP3301",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel D Dulas, M.D.
• Jennifer Kristin Dull, SLP
• Jessica Margaret Dulli, PHARMD
• Gloria Dullinger-Brown, CRNA
• Ann Scott Dumas, MSW, LICSW
• Heather Lee Dumke, PA-C
• Alison Uphoff Dummer
• Brianna Kathleen Merry Dunbar, MA LAMFT
• Corinne Kay Duncan, MD
• Ian Jamieson Duncan

• Psychologist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2018; 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.