Active NPI
Doron A. Dula, PSY.D.
- Clinical Child & Adolescent Psychologist
- Claremont, CA
National Provider Identifier
1578838645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- PSY16778
- Practice address
- 250 W 1St St Ste 352
Claremont, CA 91711-4744 - Phone
- (909) 624-8378
- Fax
- (909) 626-4507
- NPI assigned
- Mar 21, 2012
- Last updated
- Aug 22, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY16778 | CA | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | PSY16778 | CA | Primary |
Addresses
Primary practice location
250 W 1St St Ste 352
Claremont, CA 91711-4744
Mailing address
250 W 1St St Ste 352
Claremont, CA 91711-4744
Phone (909) 624-8378
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2016 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY16778 | CA | MD | Clinical Psychologist |
| 16778 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345593600000",
"number": "1578838645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 W 1ST ST STE 352",
"city": "CLAREMONT",
"state": "CA",
"postal_code": "917114744",
"telephone_number": "909-624-8378",
"fax_number": "909-626-4507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 W 1ST ST STE 352",
"city": "CLAREMONT",
"state": "CA",
"postal_code": "917114744",
"telephone_number": "909-624-8378",
"fax_number": "909-626-4507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DULA",
"first_name": "DORON",
"middle_name": "A.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-03-21",
"last_updated": "2012-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY16778",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "CA",
"license": "PSY16778",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Claremont, CA
- Dr Beaman Psychological Professional Corporation (Dale Beaman)
- Dr. Blied - Faces of Health - a Psychological Corporation
- Drive My Vehicle LLC
- Drpaulolivera
- Dynahya Duckworth
- Luis Duran
- Jenna Daniela Durning
- Dax Kem Easton, PHARMD
- Eastwest Homecare Los Angeles (Interim Healthcare Pomona)
- Christopher Earl Ebbe, PH.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.