Individual provider · Type 1 NPI
Mickeal Pugh Jr., PhD
Psychologist · Beverly Hills, CA
Practice location
9675 Brighton Way Ste 422
Beverly Hills, CA 90210-5139
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist | 103T00000X | 0810008701 (VA) |
| Psychologist Primary | 103T00000X | 34826 (CA) |
Psychologist: 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 adjustmen…
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About NPI 1093597601
Mickeal Pugh Jr., PhD's National Provider Identifier is 1093597601, issued on Oct 18, 2023. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Beverly Hills, CA. The record was last updated on Mar 23, 2026.