Michael A Dougherty, PHD

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

Practice address

1507 21St St
Sacramento, CA 95814-5220

Phone

(916) 448-2951

Fax

(916) 448-8949

NPI assigned

Jan 11, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710037635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4417 BELA WAY",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956081259",
            "telephone_number": "916-487-0357",
            "fax_number": "916-487-0356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 21ST ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958145220",
            "telephone_number": "916-448-2951",
            "fax_number": "916-448-8949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHERTY",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mania Deldar Doucette
• Paul Robert Doucot, DPT, CSCS
• Mariam Dougan Gabisi
• Adam P Dougherty, MPH
• Colten Dougherty, DPM
• Raymond S Dougherty, M.D.
• Sara Ellen Dougherty, M.D.
• Douglas a. Lott DDS Inc
• Douglas Young, M.D.,Inc.
• Alexandra Douglas

• Cognitive & Behavioral Psychologist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Cognitive & Behavioral Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.