MR. DOUGLAS L. MCCOMAS, JR. (NPI# 1538252549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538252549 |
| Entity Type | Individual |
| Full Name | MR. DOUGLAS L. MCCOMAS, JR. |
| Credential | LMSW |
| Practice Address |
950 W Monroe St Suite 500 Jackson MI 49202-2079 |
| Practice Telephone | 5177888330 |
| Mailing Telephone | 5177888330 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103T00000X | Psychologist | 6301006289 | MI | Behavioral Health & Social Service Providers |
| X | 1041C0700X |
Social Worker Specialization: Clinical |
6301006269 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS AND BLUE SHIEL | 08972830 | 01 |
| MI | AETNA | 5150461 | 01 |
| Street Address |
950 W MONROE ST SUITE 500 |
| City | JACKSON |
| State | MI |
| Zip Code | 49202-2079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891745311 | Phillip Frantzis | Surgery | 950 W Monroe St, Ste 200, Jackson, MI 49202-2079 | 2006-05-12 |
| 1508490293 | Tiffany Renee Schirmacher | Behavioral Analyst | 950 W Monroe St, Jackson, MI 49202-2079 | 2020-03-03 |
| 1467009035 | Anu Gupta | Case Manager/Care Coordinator | 950 W Monroe St, Jackson, MI 49202-2079 | 2019-08-19 |
| 1497300313 | Alternative Community Living, Inc. | Clinic/Center | 950 W Monroe St, Jackson, MI 49202-2079 | 2019-08-07 |
| 1407418569 | Summer Washington | Case Manager/Care Coordinator | 950 W Monroe St, Jackson, MI 49202-2079 | 2019-06-28 |
| 1326572447 | Hope Network | Point of Service | 950 W Monroe St, Jackson, MI 49202-2079 | 2017-04-14 |
| 1437697349 | Barbara Vanhouten | Rehabilitation Practitioner | 950 W Monroe St, Jackson, MI 49202-2079 | 2017-02-10 |
| 1992183735 | Soteria Enterprises, Pllc | Community/Behavioral Health | 950 W Monroe St, Suite 500, Jackson, MI 49202-2079 | 2015-05-13 |
| 1972850519 | Phyllis Myers | Social Worker | 950 W Monroe St, Suite 500, Jackson, MI 49202-2079 | 2012-08-14 |
| 1013278969 | Ingrid Sekhon | Social Worker | 950 W Monroe St, Suite 500, Jackson, MI 49202-2079 | 2012-06-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821590316 | Leslie Dominique Barroso | Social Worker | 834 Kennedy St, Jackson, MI 49202 | 2018-03-01 |
| 1073011136 | Nicole Szarek | Social Worker | 1200 N. West Ave, Jackson, MI 49202 | 2018-01-24 |
| 1598299430 | Cedric Griffin | Behavior Technician | 950 W. Monroe St, Jackson, MI 49202 | 2017-04-18 |
| 1285081612 | Patricia Decker | Psychologist | 950 West Monroe, Suite 500, Jackson, MI 49202 | 2016-05-16 |
| 1619344314 | Erica Ries | Social Worker | 1200 N West Ave Ste 800, Jackson, MI 49202 | 2015-08-28 |
| 1184007189 | Sarah Johnson | Behavioral Analyst | 818 Winifred St, Jackson, MI 49202 | 2015-07-08 |
| 1871971697 | Scott A Watterson Dds, Pllc | Dentist | 1030 Laurence Ave, Suite 3, Jackson, MI 49202 | 2015-05-13 |
| 1043608680 | Brenda Beverly | Counselor | 1190 West, 1190 West Suite 812, Jackson, MI 49202 | 2015-01-06 |
| 1295091593 | Natalie Ann Kember | Social Worker | 1206 Clinton, Jackson, MI 49202 | 2012-04-11 |
| 1912218728 | Tina Marie Pierce | Respite Care | 225 N Wisner St, Jakson, MI 49202 | 2010-06-25 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
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| 1043549280 | University of Mississippi Medical Center | Psychologist | 2500 N State St # H819-01, Jackson, MS 39216-4500 | 2009-12-17 |
| 1356511562 | John Patterson Thorn | Psychologist | 270 Veronica Lane, Suite C-1, Jackson, WY 83001-0000 | 2008-03-04 |
| 1013109552 | Terri Martin Revelle | Psychologist | 111 E. Jefferson St., Jackson, NC 27845 | 2007-08-17 |
| 1184830143 | Toby S Altfeld | Psychologist | 156 C West University Parkway, Jackson, TN 38305 | 2007-05-15 |
| 1497968911 | Mollie Wyatt | Psychologist | 4055 I-55 North, Suite 293, Jackson, MS 39211 | 2007-05-08 |
| 1124249719 | John David Vickery | Psychologist | 3363 Highway 45 North, Jackson, TN 38305 | 2007-05-01 |
| 1215157425 | Angela O'briant Herzog | Psychologist | Forty-five Hundred Interstate Fifty-five North, Suite 208, Jackson, MS 39211 | 2007-04-27 |
| 1295877165 | Rose Margaret Hochheiser | Psychologist | 140 King Street, Jackson, WY 83001 | 2007-02-13 |
| Find all providers in JACKSON | ||||
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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.