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MICHAEL ADAM DOUGLAS PHD
NPI 1073736559
Psychologist - Clinical in Los Angeles, CA

Active since April 11, 2007
6310 SAN VICENTE BLVD, SUITE 425, LOS ANGELES, CA 90048(310) 405-1948 Get Directions Write a Review

NPPES record last updated: March 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michael Adam Douglas Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL ADAM DOUGLAS PHD (NPI 1073736559) is an individual clinical provider in Los Angeles, California, licensed in California (PSY 20495) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1073736559
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameMICHAEL ADAM DOUGLASCredential: PHD
Location Address6310 SAN VICENTE BLVD, SUITE 425Los Angeles, CA 90048
Mailing Address6310 San Vicente Blvd, Suite 425Los Angeles, CA 90048 · (310) 405-1948
Phone(310) 405-1948
Sole ProprietorYes
Enumeration DateApril 11, 2007
Last NPPES UpdateMarch 6, 2024
✔ NPI 1073736559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY 20495
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
6310 SAN VICENTE BLVD, Los Angeles, CA 90048
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PACIFIC REJUVENATION MEDICAL, A PROFESSIONAL CORP.
Non-Pharmacy Dispensing Site
6310 SAN VICENTE BLVD, SUITE 220
LOS ANGELES, CA 90048
Los Angeles County (818) 518-5980
DR. CHRISTINA L ADBERG MD
Obstetrics & Gynecology (Gynecology)
6310 SAN VICENTE BLVD, SUITE 330
LOS ANGELES, CA 90048
Los Angeles County (323) 452-9655
DR. MOHAMMAD ALI ANSARI M.D.
Internal Medicine (Pulmonary Disease)
6310 SAN VICENTE BLVD, SUITE 280
LOS ANGELES, CA 90048
Los Angeles County (323) 934-9265
MARK H. ROSSDANSON PH.D.
Psychologist
6310 SAN VICENTE BLVD, STE 410
LOS ANGELES, CA 90048
Los Angeles County (323) 932-1677
DR. SHARO RAISSI M.D.
Specialist
6310 SAN VICENTE BLVD, STE 220
LOS ANGELES, CA 90048
Los Angeles County (310) 291-2166
CYNTHIA RAJCHMAN MFTI
Marriage & Family Therapist
6310 SAN VICENTE BLVD, SUITE 415
LOSA ANGELES, CA 90048
Los Angeles County (213) 536-1314
HORIZON SLEEP MEDICINE SERVICES, INC
Internal Medicine (Pulmonary Disease)
6310 SAN VICENTE BLVD, SUITE 280
LOS ANGELES, CA 90048
Los Angeles County (323) 934-9262
LILY RUSSO APCC
Counselor (Professional)
6310 SAN VICENTE BLVD
LOS ANGELES, CA 90048
Los Angeles County (213) 262-3346

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Douglas's NPI number?

The NPI number for Michael Douglas is 1073736559. It was assigned to this individual provider in the NPPES registry on April 11, 2007.

Where is Michael Douglas located?

Michael Douglas practices at 6310 San Vicente Blvd Suite 425, Los Angeles, CA 90048. The listed phone number is (310) 405-1948.

What is Michael Douglas's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Michael Douglas was last updated on March 6, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.