Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902841968 Individual Practitioner Male Practitioner

Sean Michael Dougherty , MA LLP

Psychologist • Ada, MI

Professional Overview & Biography Verified Profile Summary

Sean Dougherty, MA LLP is a registered healthcare professional specializing in Psychologist in Ada, MI. Practice services are available at 967 SPAULDING AVE SE STE E under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

967 Spaulding Ave Se Ste E

Ada, MI 493013703

Telephone 6165041002
Fax 6167194480
Associated Practice Facility / Clinic
🏢 Dawn Jenkins Lmsw Facility NPI 1790375590

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Ada, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 35.7 Yrs
State Avg: 26.4 Yrs
Regional Practice Density
11 Specialists

Practicing in Ada, MI (2669 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

CMS Verified: 2023-10-03
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License MI 6301009294

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.

Practice Associates & Co-Workers

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

4 Associated Practitioners
Dr. Philip Fox , MD

Psychiatry & Neurology - Psychiatry

NPI 1013976596

Doctor of Medicine (M.D.)

Dr. Randall Christenson , MD

Psychiatry & Neurology - Geriatric Psychiatry

NPI 1144253642

Doctor of Medicine (M.D.)

Dr. Gregory Flentje , MD PHD

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1669405163

MDPHD

Dr. Henry Mulder , MD

Psychiatry & Neurology - Psychiatry

NPI 1881617439

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location December 13, 2023

Registered at 967 SPAULDING AVE SE STE E, ADA, MI 493013703 (Tel: 6165041002)

📍
Updated Business Mailing Address December 13, 2023

Registered at 967 SPAULDING AVE SE STE E, ADA, MI 493013703 (Tel: 6165041002)

NPI Profile Active June 15, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 15, 2017

Registered at 5060 CASCADE RD. SE, SUITE D, GRAND RAPIDS, MI 49546 (Tel: 6164542911)

📍
Updated Business Mailing Address June 15, 2017

Registered at 5060 CASCADE RD. SE, SUITE D, GRAND RAPIDS, MI 49546 (Tel: (616) 454-2911)

👤
Provider Name / Credentials Updated June 15, 2017

Recorded as SEAN DOUGHERTY, MA LLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2017

Psychologist (License #6301009294 in MI)

NPI Profile Active June 25, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location June 25, 2010

Registered at 1403 60TH ST SE, KENTWOOD, MI 495087065 (Tel: 6167194488)

📍
Updated Business Mailing Address June 25, 2010

Registered at 1403 60TH ST SE, KENTWOOD, MI 495087065 (Tel: 6167194488)

👤
Provider Name / Credentials Updated June 25, 2010

Recorded as SEAN DOUGHERTY, MA, LLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2010

Psychologist (License #6301009294 in MI)

🟢
Initial NPI Registration & Enumeration June 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1902841968
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 16, 2006
Last Update: December 13, 2023
Sole Proprietor: Yes

Mailing Address

967 Spaulding Ave Se Ste E

Ada, MI 493013703

Phone: 6165041002

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.