Bruce G Douglass PHD PC
NPI 1659513208 · Family Psychologist · Traverse City, MI
Bruce G Douglass PHD PC is a Family Psychologist organization in Traverse City, MI (NPI 1659513208).
Provider details
- NPI number
- 1659513208
- Entity type
- Organization
- Primary specialty
- Family PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Bruce Douglass, Manager(231) 342-5877
- License
- 6301003193 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-03-28
- Last updated
- 2021-02-27
- Certified
- 2021-02-27
Frequently asked questions
- What is Bruce G Douglass PHD PC's NPI number?
- Bruce G Douglass PHD PC's National Provider Identifier (NPI) is 1659513208, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bruce G Douglass PHD PC?
- Bruce G Douglass PHD PC is classified in the NPPES registry as Family Psychologist (Behavioral Health & Social Service Providers).
- Where is Bruce G Douglass PHD PC located?
- Bruce G Douglass PHD PC's practice location on file with NPPES is 5088 Village Lane Ct, Traverse City, MI 49685-6924.
- What is Bruce G Douglass PHD PC's phone number?
- The practice phone number listed in the NPPES registry for Bruce G Douglass PHD PC is (231) 342-5877.
- Who is the authorized official for Bruce G Douglass PHD PC?
- The authorized official listed on Bruce G Douglass PHD PC's NPPES record is Bruce Douglass, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bruce G Douglass PHD PC's NPI active?
- Yes — Bruce G Douglass PHD PC's NPI (1659513208) is active in the NPPES registry as of the last update on 2021-02-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.