Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1881745453 Individual Practitioner Male Practitioner

Dr. Douglas A. Daugherty , PsyD, HSPP

Psychologist • Marion, IN

Professional Overview & Biography Verified Profile Summary

Dr. Douglas Daugherty, PsyD, HSPP is a registered healthcare professional specializing in Psychologist in Marion, IN. Practice services are available at 5230 S WESTERN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5230 S Western Ave

Marion, IN 469535778

Telephone 7656742208
Fax 7656743273
Associated Practice Facility / Clinic
🏢 Lakeview Wesleyan Church Facility NPI 1568568947

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Marion, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.0 Yrs
State Avg: 21.0 Yrs
Regional Practice Density
6 Specialists

Practicing in Marion, IN (473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License IN 20041195A

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
200858320 (IN)
Commercial Insurance / Payer ID Magellan
160445000 (IN)
Commercial Insurance / Payer ID Anthembcbs
000000249176 (IN)
Commercial Insurance / Payer ID Aetna
7580201 (IN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

16 Associated Practitioners
Sheryl Landis , LMHC

Counselor - Mental Health

NPI 1013047067

Licensed Mental Health Counselor

Kymber Bowman , LMFT-PENDING

Marriage & Family Therapist

NPI 1083118251

LMFTPENDING

Joyce Inskeep , LCSW

Social Worker - Clinical

NPI 1134259153

Licensed Clinical Social Worker

Barbara Matchette , LCSW

Social Worker - Clinical

NPI 1144350299

Licensed Clinical Social Worker

Keaton Albert

Marriage & Family Therapist

NPI 1164128856
Michael Johnson , LCSW

Social Worker - Clinical

NPI 1225168651

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 15, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 15, 2016

Registered at 5230 S WESTERN AVE, MARION, IN 469535778 (Tel: 7656742208)

📍
Updated Business Mailing Address June 15, 2016

Registered at 5230 S WESTERN AVE, MARION, IN 469535778 (Tel: 7656742208)

👤
Provider Name / Credentials Updated June 15, 2016

Recorded as DOUGLAS DAUGHERTY, PSY.D.,HSPP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2016

Psychologist (License #20041195A in IN)

🟢
Initial NPI Registration & Enumeration January 12, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1881745453
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 12, 2007
Last Update: June 15, 2016
Sole Proprietor: No

Mailing Address

5230 S Western Ave

Marion, IN 469535778

Phone: 7656742208

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.