MR. MICHAEL KIRK DOUGLAS (NPI# 1437203544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437203544 |
Entity Type | Individual |
Full Name | MR. MICHAEL KIRK DOUGLAS |
Credential | M.H.S., CAC-AD |
Practice Address |
1303 Kent Avenue Baltimore MD 21207-4828 |
Mailing Address |
1303 Kent Ave Baltimore MD 21207-4828 |
Practice Telephone | 4107197408 |
Mailing Telephone | 4107197408 |
Enumeration Date | 2007-01-23 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
AC0626 | MD | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932296373 | Michael Douglas | Internal Medicine | 1920 Gunbarrel Rd, Suite 110, Chattanooga, TN 37421-3100 | 2006-10-06 |
1902907454 | Michael Lee Douglas | Family Medicine | 1110 Bergslien Street, Baldwin, WI 54002 | 2006-09-26 |
1407853088 | Michael L Douglas | Chiropractor | 4140 Nw 12th St, Lauderhill, FL 33313-5816 | 2005-06-28 |
1497246011 | Michael Douglas II | Case Manager/Care Coordinator | 2116 Justice St, Monroe, LA 71201-3618 | 2018-05-21 |
1639523665 | Michael Stephen Douglas | Anesthesiology | 11234 Anderson St, Department of Anesthesiology, Loma Linda, CA 92354 | 2016-04-15 |
1972908770 | Michael Douglas Jr. | Counselor | 1845 Grandstand Place, Elgin, IL 60123 | 2014-10-23 |
1902169543 | Michael L Douglas | Urology | 425 Bmh Physicians Office Bldg, Maryville, TN 37804 | 2012-06-19 |
1841572856 | Michael Anthony Douglas | Counselor | 4760 Sepulveda Blvd, Culver City, CA 90230-4820 | 2011-09-15 |
1659679785 | Michael L Douglas | Counselor | 1523 N Boston Pl, Tulsa, OK 74106-4103 | 2011-03-14 |
1073736559 | Michael Adam Douglas | Psychologist | 11704 Wilshire Blvd, Suite 255, Los Angeles, CA 90025-1507 | 2007-04-11 |
Street Address |
1303 KENT AVENUE |
City | BALTIMORE |
State | MD |
Zip Code | 21207-4828 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821613373 | Keys Development Ta | Case Management | 7501 Liberty Rd Ste F/g, Keys Development Ta LLC., Gwynn Oak, MD 21207 | 2020-06-10 |
1891328431 | Day-by-day Healthcare LLC | Home Health Aide | 6817 Fox Meadow Rd, Gwynnoak, Baltimore, MD 21207 | 2020-02-21 |
1366005944 | Lacey Murphy | Social Worker | 6201 Liberty Road, Baltimore, MD 21207 | 2019-04-18 |
1811453368 | Pamela Powell | Social Worker | 5025 Dickey Hill Rd, Baltimore, MD 21207 | 2019-02-20 |
1568932176 | Reflections Counseling & Consulting | Community/Behavioral Health | 6901 Brightway, Unit F, Gwynn Oak, MD 21207 | 2018-11-27 |
1255849394 | Therapetic Wellness Services | Community/Behavioral Health | 4909 Liberty Heights Ave, Baltimore, MD 21207 | 2018-01-10 |
1922525252 | Passionate Hands Transitional Housing | Clinic/Center | 4711 Liberty Heights Avenue, Baltimore, MD 21207 | 2017-08-28 |
1528427689 | Stephen James Allen | Occupational Therapy Assistant | 4107 Liberty Heights Ave, Baltimore, MARYLAND 21207 | 2016-02-17 |
1255720439 | Dawn James | Counselor | 6401 Dogwood Road, Suite 201, Gwynn Oak, MD 21207 | 2015-01-12 |
1407251168 | Allcare International, Inc | Day Training, Developmentally Disabled Services | 3402 Milford Ave, Baltimore, MD 21207 | 2014-10-23 |
Find all providers in zip 21207 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861091522 | Choices Integrated Healthcare | Counselor | 1600 Bush St, Baltimore, MD 21230-2021 | 2020-10-22 |
1730791609 | Tony C Shaw | Counselor | 2814 W Garrison Ave, Baltimore, MD 21215-5335 | 2020-08-20 |
1023628849 | Delores Jordan | Counselor | 2640 Oswego Ave, Baltimore, MD 21215-7037 | 2020-08-06 |
1144838277 | Guiding Lives | Counselor | 6305 Belair Rd, Baltimore, MD 21206-1817 | 2020-07-15 |
1750908943 | New Life Services LLC. | Counselor | 3600 W Mulberry St, Baltimore, MD 21229-2928 | 2020-07-03 |
1801413422 | Karena Tinika Lee | Counselor | 1336 Homestead St, Baltimore, MD 21218-3624 | 2020-06-30 |
1578189668 | Chenelle Gould | Counselor | 4018 Elmora Ave, Baltimore, MD 21213-2120 | 2020-06-24 |
1811513625 | Ebony Michelle Johnson | Counselor | 2808 Carver Rd, Baltimore, MD 21225-1312 | 2020-06-18 |
1992321798 | Robert Murray | Counselor | 1703 Windemere Ave, Baltimore, MD 21218-3029 | 2020-06-18 |
1629694591 | Natale Fiumara | Counselor | 821 N Eutaw St Ste 201, Baltimore, MD 21201-6301 | 2020-06-17 |
Find all providers in BALTIMORE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.