MS. MADELINE CASSANDRA DOUGLAS
NPI 1861769432
Behavior Analyst in Los Angeles, CA

Q: What is Madeline Douglas's NPI number?

The NPI number for Madeline Douglas is 1861769432. It was assigned to this individual provider in the NPPES registry on November 25, 2011.

Q: What is Madeline Douglas's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Q: When was this NPI record last updated?

The NPPES record for Madeline Douglas was last updated on November 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since November 25, 2011PECOS Enrolled

11301 WILSHIRE BLVD, LOS ANGELES, CA 90073(213) 253-2677(213) 253-5046 Get Directions Write a Review

NPPES record last updated: November 25, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Ms. Madeline Cassandra Douglas NPPES

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

MS. MADELINE CASSANDRA DOUGLAS (NPI 1861769432) is an individual behavior analyst provider in Los Angeles, California, licensed in California (26347) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861769432

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameMS. MADELINE CASSANDRA DOUGLAS

Location Address11301 WILSHIRE BLVDLos Angeles, CA 90073-1003

Mailing Address11301 Wilshire BlvdLos Angeles, CA 90073-1003 · (213) 253-2677 · Fax (213) 253-5046

Phone(213) 253-2677

Fax(213) 253-5046

Sole ProprietorYes

Enumeration DateNovember 25, 2011

✔ NPI 1861769432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed in CA · 26347

Definition

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

11301 WILSHIRE BLVD, Los Angeles, CA 90073

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Madeline Cassandra Douglas is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Madeline Douglas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sud Specialty Group - Ca

304 mi

Addiction Medicine

4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054

Reassigned Medicare billing, California enrollment
1,607 clinicians in this Medicare group

NPI 1972138238 (323) 205-7088

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

JOANNA ZUHAIL CENTENO I

Licensed Vocational Nurse

11301 WILSHIRE BLVD
LOS ANGELES, CA 90073

Los Angeles County (310) 478-3711

MS. APRIL S. BULLOCK MSW,ACSW

Social Worker

11301 WILSHIRE BLVD
LOS ANGELES, CA 90073

Los Angeles County (310) 268-3000

NICOLE CHAN LISW

Social Worker

11301 WILSHIRE BLVD
LOS ANGELES, CA 90073

Los Angeles County (310) 487-6026

DANIEL SMEE SOCIAL WORK

Social Worker (Clinical)

11301 WILSHIRE BLVD
LOS ANGELES, CA 90073

Los Angeles County (310) 478-3711

AMANDA SALVESTRINI MS, RD

Dietitian, Registered

11301 WILSHIRE BLVD, BUILDING 213. 3RD FLOOR. ROOM 317.
LOS ANGELES, CA 90073

Los Angeles County (310) 478-3711

RACHEL DAJANI MD

Internal Medicine

11301 WILSHIRE BLVD
LOS ANGELES, CA 90073

Los Angeles County (310) 478-3711

HARRISON BODRIE LCSW

Social Worker (Clinical)

11301 WILSHIRE BLVD
LOS ANGELES, CA 90073

Los Angeles County (310) 987-8310

MR. ROBERTO CARMONA-VERGARA ASW

Student in an Organized Health Care Education/Training Program

11301 WILSHIRE BLVD
LOS ANGELES, CA 90073

Los Angeles County (310) 478-3711

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 Madeline Douglas's NPI number?

The NPI number for Madeline Douglas is 1861769432. It was assigned to this individual provider in the NPPES registry on November 25, 2011.

Where is Madeline Douglas located?

Madeline Douglas practices at 11301 Wilshire Blvd, Los Angeles, CA 90073. The listed phone number is (213) 253-2677.

What is Madeline Douglas's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Is Madeline Douglas enrolled in Medicare?

Yes. Madeline Douglas is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Madeline Douglas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madeline Douglas reassigns Medicare benefits to Sud Specialty Group - Ca (Santa Clara, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Madeline Douglas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Madeline Douglas was last updated on November 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.