Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael A. Douglas, PHD

Organization Clinical Psychologist · NPI 1780824219

Michael A. Douglas, PHD is a Clinical Psychologist in Los Angeles, California. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

11704 Wilshire Blvd Ste 255
Los Angeles, CA 90025-1504
Phone: (310) 405-1948
Fax: (323) 934-1550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X

Record details

NPI number1780824219
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Douglas — Psychologist · (310) 405-1948
NPI enumeratedFebruary 24, 2009
Last updated in NPPESFebruary 24, 2009
Mailing address11704 Wilshire Blvd Ste 255, Los Angeles, CA 90025-1504

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