MICHAEL A. DOUGLAS, PHD
NPI 1780824219
Psychologist - Clinical in Los Angeles, CA

Active since February 24, 2009
11704 WILSHIRE BLVD STE 255, LOS ANGELES, CA 90025(310) 405-1948(323) 934-1550 Get Directions Write a Review

NPPES record last updated: February 24, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Michael A. Douglas, Phd NPPES

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

MICHAEL A. DOUGLAS, PHD (NPI 1780824219) is a healthcare organization registered as a clinical in Los Angeles, California and active in the NPI registry since February 2009. The organization lists Michael Douglas, Psychologist, as its authorized official.

NPPES Registry Identity

NPI1780824219
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameMICHAEL A. DOUGLAS, PHD
Location Address11704 WILSHIRE BLVD STE 255Los Angeles, CA 90025-1504
Mailing Address11704 Wilshire Blvd Ste 255Los Angeles, CA 90025-1504 · (310) 405-1948 · Fax (323) 934-1550
Fax(323) 934-1550
Organization SubpartNo
Authorized OfficialMichael DouglasPsychologist · (310) 405-1948
Enumeration DateFebruary 24, 2009
NPI 1780824219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
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.

11704 WILSHIRE BLVD STE 255, Los Angeles, CA 90025

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Psychologist (Clinical)
11704 WILSHIRE BLVD STE 255
LOS ANGELES, CA 90025

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780824219, enumerated as an "organization" on February 24, 2009.

The provider is located at 11704 WILSHIRE BLVD STE 255 LOS ANGELES, CA 90025 and the phone number is (310) 405-1948.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.