Douglas Park, PH.D
NPI 1912967019 · Clinical Psychologist · Dearborn, MI
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Douglas Park, PH.D is a Clinical Psychologist provider in Dearborn, MI (NPI 1912967019).
Provider details
- NPI number
- 1912967019
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D
- Sex
- Male
- Sole proprietor
- Yes
- License
- 6301011777 (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
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
Mailing address
Registry dates
- Enumerated
- 2006-03-24
- Last updated
- 2014-05-19
Frequently asked questions
- What is Douglas Park's NPI number?
- Douglas Park's National Provider Identifier (NPI) is 1912967019, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Douglas Park's specialty?
- Douglas Park is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Douglas Park located?
- Douglas Park's practice location on file with NPPES is 2314 Monroe St, Dearborn, MI 48124-3010.
- What is Douglas Park's phone number?
- The practice phone number listed in the NPPES registry for Douglas Park is (313) 565-5937.
- Does Douglas Park accept Medicare?
- Douglas Park is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Douglas Park's NPI active?
- Yes — Douglas Park's NPI (1912967019) is active in the NPPES registry as of the last update on 2014-05-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.