IndividualActive
Sean Dougherty, MA LLP
NPI 1902841968 · Psychologist · Ada, MI
Provider details
- NPI number
- 1902841968
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- MA LLP
- Sex
- Male
- Sole proprietor
- Yes
- License
- 6301009294 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
967 Spaulding Ave Se Ste E
Ada, MI 49301-3703
Phone: (616) 504-1002
Fax: (616) 719-4480
Street-level locationGet directions
Mailing address
967 Spaulding Ave Se Ste E
Ada, MI 49301-3703
Registry dates
- Enumerated
- 2006-06-16
- Last updated
- 2023-12-13
- Certified
- 2023-10-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.