DR. MICHAEL A DOUGHERTY (NPI# 1710037635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710037635 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL A DOUGHERTY |
| Credential | PHD |
| Practice Address |
1507 21st St Sacramento CA 95814-5220 |
| Mailing Address |
4417 Bela Way Carmichael CA 95608-1259 |
| Practice Telephone | 9164482951 |
| Practice Fax Number | 9164488949 |
| Mailing Telephone | 9164870357 |
| Mailing Fax Number | 9164870356 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881139939 | Michael Dougherty | Obstetrics & Gynecology | 913 Village Drive West, North Brunswick, NJ 08902 | 2016-12-28 |
| 1114160439 | Michael Christopher Dougherty | Emergency Medical Technician, Paramedic | Psc 37, Box 4813, Apo, AE 09459-9998 | 2009-04-16 |
| 1720276579 | Michael Dougherty | Physical Therapist | 9441 Lbj Fwy Ste 101, Dallas, TX 75243-4566 | 2007-10-05 |
| 1790997781 | Michael W Dougherty | Audiologist | 211 South St # 318, Philadelphia, PA 19147-2305 | 2007-05-04 |
| 1134228265 | Michael James Dougherty | Pediatrics | 200 Patewwod Drive, Suite A200, Greenville, SC 29615-3585 | 2006-09-22 |
| 1932186210 | Michael D Dougherty | Physician Assistant | 611 Sherman Ave East, Fort Atkinson, WI 53538 | 2005-12-28 |
| 1972129476 | Michael Devin Dougherty | Nurse Practitioner | 1690 N Monroe St, Tallahassee, FL 32303-5533 | 2020-06-19 |
| 1437786407 | Michael Dougherty | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3098 | 2020-03-26 |
| 1245735133 | Michael James Dougherty | Student in an Organized Health Care Education/Training Program | 3401 North Blvd Ste 200, Baton Rouge, LA 70806-3743 | 2018-03-24 |
| 1679904999 | Michael Dougherty | Specialist/Technologist | 5165 Adanson St, Orlando, FL 32804-1331 | 2013-12-12 |
| Street Address |
1507 21ST ST |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95814-5220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629029962 | Starateies for Change | Counselor | 1507 21st St, 100, Sacramento, CA 95814-5220 | 2006-05-12 |
| 1225368210 | Molly Rae Flynn | Social Worker | 1507 21st St, 205, Sacramento, CA 95811-5220 | 2010-01-13 |
| 1437381449 | Peter F Kirchner | Psychologist | 1507 21st St, Suite 201, Sacramento, CA 95811-5220 | 2009-08-10 |
| 1427295997 | Shona A Guider | Social Worker | 1507 21st St, 205, Sacramento, CA 95811-5220 | 2009-01-20 |
| 1861639957 | Steven Blake Weaver | Contractor | 1507 21st St, Suite 205, Sacramento, CA 95811-5220 | 2009-01-12 |
| 1134378904 | Arteemas A Greene | Social Worker | 1507 21st St, Suite 205, Sacramento, CA 95811-5220 | 2008-09-16 |
| 1619145935 | Kim Borbon | Counselor | 1507 21st St, Ste 205, Sacramento, CA 95811-5220 | 2008-02-20 |
| 1174702716 | Leslie Wayne Berner | Counselor | 1507 21st St, 205, Sacramento, CA 95811-5220 | 2007-10-31 |
| 1851585830 | Jennifer Marie Martinson | Case Manager/Care Coordinator | 1507 21st St, Ste. 205, Sacramento, CA 95811-5220 | 2007-08-31 |
| 1366653941 | William Burg | Social Worker | 1507 21st St, Sacramento, CA 95814-5220 | 2007-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801435631 | County of Sacramento | Clinic/Center | 651 I Street, Sacramento, CA 95814 | 2019-12-26 |
| 1376033746 | Jenna Pettus | Nurse Practitioner | 711 14th St, Apt 11, Sacramento, CA 95814 | 2018-05-11 |
| 1306269667 | First Advocate Home Care | In Home Supportive Care | 1215 K Street, 17th Floor, Sacramento, CA 95814 | 2014-01-22 |
| 1063752350 | Brian C. Steele Dds A Professional Corporation | Dentist | 1105 E Street, Sacramento, CA 95814 | 2013-02-22 |
| 1265777692 | Wellspace Health | Clinic/Center | 631 H St, Sacramento, CA 95814 | 2012-12-12 |
| 1407117823 | Richard Lee Bauer | Internal Medicine | 651 I St., Sacramento, CA 95814 | 2012-06-01 |
| 1851669949 | Heaaring Healthcare Provider of California | Audiologist | One Capitol Mall, Suite 320, Sacramento, CA 95814 | 2011-12-05 |
| 1114254935 | Robert D Canning | Psychologist | 501 J Street, Suite 530, California Department of Corrections & Rehabilitation, Sacramento, CA 95814 | 2009-11-16 |
| 1407035488 | Donald Herbert Hodges | Case Manager/Care Coordinator | 1420 E Street Apt # B, Sacramento, CA 95814 | 2007-10-26 |
| 1255537536 | River Oak Center for Children | Clinic/Center | 1238 S Street, Sacramento, CA 95814 | 2007-06-25 |
| Find all providers in zip 95814 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750655296 | Ewing Psychological Center | Psychologist | 100 Howe Ave, Suite 155n, Sacramento, CA 95825-8202 | 2012-03-01 |
| 1043438500 | Michael R Erickson | Psychologist | 50 Fullerton Ct, Suite 200, Sacramento, CA 95825-6205 | 2007-04-23 |
| 1699821199 | Anton Raymond Paulson | Psychologist | 601 University Ave Ste 225, Sacramento, CA 95825-6720 | 2007-01-26 |
| 1710481494 | Tamara Rosenfield | Psychologist | 3400 Cottage Way Ste K, Sacramento, CA 95825-1474 | 2018-03-19 |
| 1568610822 | Charles Odipo | Psychologist | 3067 Freeport Blvd, Sacramento, CA 95818-4347 | 2008-08-28 |
| 1861600793 | Gerrett Hendrik Stenken | Psychologist | 2008 Morse Ave, Kaiser Permanente, Dept. of Psychiatry, Sacramento, CA 95825-2135 | 2007-05-21 |
| 1871700310 | Nancy Gregory | Psychologist | 418 Alhambra Blvd, Building A, Sacramento, CA 95816 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746650 | Alexandria Marie Schick | Psychologist | 2785 Cold Springs Rd Apt 31, Placerville, CA 95667-3240 | 2020-10-08 |
| 1841804853 | Nia Mayers Franklin | Psychologist | 8940 S Hobart Blvd, Los Angeles, CA 90047-3615 | 2020-09-08 |
| 1871104307 | Erania Marie Martin-lang | Psychologist | 13329 Arbor Park Ln, Moreno Valley, CA 92553-6916 | 2020-08-10 |
| 1366051070 | Shellie Renae Higuera | Psychologist | 5059 Day Dr, Fairfield, CA 94533-6597 | 2020-07-28 |
| 1730706979 | Oak Forest Recovery Center, Inc. | Psychologist | 5655 Lindero Canyon Rd Ste 425, Westlake Village, CA 91362-4046 | 2020-07-04 |
| 1861016842 | Valley Harvest Church of Merced | Psychologist | 557 W 26th St, Merced, CA 95340-2825 | 2020-06-04 |
| 1629691993 | Franklin Clifford Wimberly | Psychologist | 10 Pleasant Walk, Aliso Viejo, CA 92656-4266 | 2020-05-21 |
| 1790325694 | Pacific Forensic Psychology Associates, Inc | Psychologist | 19230 Sonoma Highway, Building 200, Sonoma, CA 95476 | 2020-01-09 |
| 1386282762 | Danielle Wischenka | Psychologist | 155 E Campbell Ave Ste 219, Campbell, CA 95008-2062 | 2019-12-16 |
| 1528525326 | Sylvia Cary | Psychologist | 4650 Sepulveda Blvd Apt 201, Sherman Oaks, CA 91403-2462 | 2019-02-28 |
| Find all providers with the same taxonomy | ||||
| City | SACRAMENTO |
| Zip Code | 95814 |
Please comment or provide details below to improve the information on DR. MICHAEL A DOUGHERTY.
| 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.