Physician Compare National (NPI:1154483881)

HEALTHCARE PROVIDER: DOUGLAS WILLIAM TREESE PH.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1154483881
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2860445608
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20050228000261
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	TREESE
	Individual professional last name
Provider First Name	DOUGLAS
	Individual professional first name
Provider Middle Name	W
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	CP
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1988
	Individual professional's medical school graduation year
Primary Specialty	PSYCHOLOGIST, CLINICAL
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1256 W CHANDLER BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 13
	Group Practice or individual's line 2 address
City	CHANDLER
	Group Practice or individual's city
State	AZ
	Group Practice or individual's state
Zip Code	852245226
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4808217857
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y