DR. BRUCE G DOUGLASS PHD
NPI 1285725424
Psychologist in Traverse City, MI

Active since September 27, 2006
934 S GARFIELD AVE STE C, TRAVERSE CITY, MI 49686(231) 946-4419 Get Directions Write a Review

NPPES record last updated: March 28, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Bruce G Douglass Phd NPPES

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

DR. BRUCE G DOUGLASS PHD (NPI 1285725424) is an individual psychologist in Traverse City, Michigan, licensed in Michigan (003193) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1285725424
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. BRUCE G DOUGLASSCredential: PHD
Location Address934 S GARFIELD AVE STE CTraverse City, MI 49686-2402
Mailing Address934 S Garfield Ave Ste CTraverse City, MI 49686-2402 · (231) 946-4419
Sole ProprietorNo
Enumeration DateSeptember 27, 2006
Last NPPES UpdateMarch 28, 2009
NPI 1285725424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MI · 003193
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
934 S GARFIELD AVE STE C, Traverse City, MI 49686

Other Identifiers 4

Other383446966MI · Tax Id
Medicare UPINS07411MI
Medicare ID-Type Unspecified0M91770MI
Other680B813220MI · Bcbs

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 Bruce Douglass's NPI number?

The NPI number for Bruce Douglass is 1285725424. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Bruce Douglass located?

Bruce Douglass practices at 934 S Garfield Ave Ste C, Traverse City, MI 49686. The listed phone number is (231) 946-4419.

What is Bruce Douglass's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Bruce Douglass was last updated on March 28, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.