Douglas Albert Bain

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

452 Old Mammoth Road
Suite K
Mammoth Lakes, CA 93546-2619

Phone

(760) 924-1740

Fax

(760) 924-1741

NPI assigned

Jan 22, 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

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.

• County of Mono

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mammoth Lakes, CA
  • NPI 1538266911
  NPD (past)
• Mono County Behavioral Health

  • Community/Behavioral Health Agency
  • Mammoth Lakes, CA
  • NPI 1861050643
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871646752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2619",
            "city": "MAMMOTH LAKES",
            "state": "CA",
            "postal_code": "935462619",
            "telephone_number": "760-924-1740",
            "fax_number": "760-924-1741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 OLD MAMMOTH ROAD",
            "address_2": "SUITE K",
            "city": "MAMMOTH LAKES",
            "state": "CA",
            "postal_code": "935462619",
            "telephone_number": "760-924-1740",
            "fax_number": "760-924-1741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIN",
        "first_name": "DOUGLAS",
        "middle_name": "ALBERT",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Anisman, MS, NBC-HWC
• Araya Medicine Inc
• John Arnold, RPH
• Ayodele Okunola MD Corp
• Frohar Bahiraei, MD
• Luisana Beatriz Baires
• David Bassler, M.D.
• Mary Bassler, M.D.
• Scott Thomas Beale
• Jason S Bishop, DDS

• Mental Health Counselor in Mammoth Lakes, CA
• Providers in Mammoth Lakes, CA by specialty
• Mental Health Counselor 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.