PATRICIA PEGERON (NPI# 1730231556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730231556 |
| Entity Type | Individual |
| Full Name | PATRICIA PEGERON |
| Credential | PH.D. |
| Practice Address |
555 E William St Suite #14-h Ann Arbor MI 48104-2441 |
| Mailing Address |
1928 Hedgenettle Ct Ann Arbor MI 48103-9689 |
| Practice Telephone | 7349260117 |
| Practice Fax Number | 7349940959 |
| Mailing Telephone | 7346493626 |
| Mailing Fax Number | 7349940959 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
6301002934 | MI | Behavioral Health & Social Service Providers |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
6301002934 | MI | Behavioral Health & Social Service Providers |
| X | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
6301002934 | MI | Behavioral Health & Social Service Providers |
| Street Address |
555 E WILLIAM ST SUITE #14-H |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48104-2441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205896537 | Wolfgang W May | Psychiatry & Neurology | 555 E William St, Apt.18d, Ann Arbor, MI 48104-2441 | 2006-03-23 |
| 1417306994 | Bushra Aouthmany | Dentist | 555 E William St, Ann Arbor, MI 48104-2441 | 2016-06-06 |
| 1780026955 | Dwarakanath G. Rao, M.d., P.C. | Psychiatry & Neurology | 555 E William St, Suite 24-i, Ann Arbor, MI 48104-2441 | 2013-07-29 |
| 1871847335 | Deb Garner, Lmsw, Pllc | Community/Behavioral Health | 555 E William St, Suite 18h, Ann Arbor, MI 48104-2441 | 2012-11-06 |
| 1124390232 | Denis Edward Walsh | Psychiatry & Neurology | 555 E William St, Suite 26a, Ann Arbor, MI 48104-2441 | 2012-02-04 |
| 1497083711 | Adrianne M Camero-sulak, Psy.d., Pllc | Psychologist | 555 E William St, Suite 18-h, Ann Arbor, MI 48104-2441 | 2009-11-24 |
| 1922235175 | Michael Singer | Psychologist | 555 E William St, Suite 20c, Ann Arbor, MI 48104-2441 | 2009-06-15 |
| 1972761880 | Glenn Roger Groustra | Psychiatry & Neurology | 555 E William St, Suite 22i, Ann Arbor, MI 48104 | 2008-05-28 |
| 1194925156 | Ronald M. Benson, M.d., P.C. | Clinic/Center | 555 E William St, Suite 23d, Ann Arbor, MI 48104-2441 | 2007-07-18 |
| 1285843771 | Alan Sanford Eiser | Psychologist | 555 E William St, Suite 26d, Ann Arbor, MI 48104-2441 | 2007-05-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336603927 | Julie Corey | Counselor | 2604 Brockman Blvd, Ann Arbor, MI 48104 | 2019-01-28 |
| 1003301045 | Ann Arbor Pharmacy LLC | Pharmacy | 2418 E Stadium Blvd, Ann Arbor, MI 48104 | 2018-06-22 |
| 1811499304 | Melissa L Wright | Physical Therapist | 2850 S Industrial Hwy Suite 200, Ann Arbor, MI 48104 | 2018-03-01 |
| 1689180226 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3500 Washtenaw Ave Ste E3, Ann Arbor, MI 48104 | 2017-12-19 |
| 1861911547 | Jonathen Ross | Social Worker | 500 E. Washington St., Ste 100a, Ann Arbor, MI 48104 | 2017-09-14 |
| 1275058521 | Emily Lauren Hanna | Social Worker | 214 S. Main Street, Suite # 206, Ann Arbor, MI 48104 | 2017-08-08 |
| 1073035457 | Raynaldo Juaquin Valdez | Specialist/Technologist | 500 E. Hoover Ave, Ann Arbor, MI 48104 | 2017-07-07 |
| 1912436908 | Alison Nicole Tseng | Dentist | 2301 Platt Rd Ste 200, Ann Arbor, MI 48104 | 2017-06-05 |
| 1528593183 | Hillary Baldwin Steller, Lmsw,llc | Social Worker | 715-717 E. Huron St, Suite 2e, Ann Arbor, MI 48104 | 2017-04-20 |
| 1013360973 | Teresa Myers | Massage Therapist | 2230 Washtenaw Ave, Suite 101, Ann Arbor, MI 48104 | 2016-07-15 |
| Find all providers in zip 48104 | ||||
| Taxonomy Code | 103TA0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Adult Development & Aging |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710158928 | Jack Novick | Psychologist | 617 Stratford Dr, Ann Arbor, MI 48104-2745 | 2008-03-14 |
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| 1245720515 | Rynicia Caldwell | Psychologist | 9355 Patton St, Detroit, MI 48228-1505 | 2018-05-12 |
| 1124533344 | Selina Douglass | Psychologist | 16999 Morrison St, Southfield, MI 48076-2016 | 2017-12-11 |
| 1316451065 | Ntl Adult Foster Care | Psychologist | 1056 Bates St Se, Grand Rapids, MI 49506-2681 | 2017-11-16 |
| 1235529017 | Count Your Blessings Tlc, Inc | Psychologist | 2250 W Euclid St, Detroit, MI 48206-2403 | 2015-01-30 |
| 1578964656 | In The Valley Adult Day Center | Psychologist | 17581 James Couzens Fwy, Detroit, MI 48235-2643 | 2014-09-09 |
| 1417037797 | Wayne Center | Psychologist | 100 River Place Dr, Suite 250, Detroit, MI 48207-4274 | 2006-10-17 |
| 1528043544 | Hope Network - Rehabilitation Services | Psychologist | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2005-12-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.