DR. BETH LAUREN PEARSON (NPI# 1053504597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053504597 |
| Entity Type | Individual |
| Full Name | DR. BETH LAUREN PEARSON |
| Credential | PH.D. |
| Practice Address |
3001 Plymouth Rd Ste 105 Ann Arbor MI 48105-3205 |
| Practice Telephone | 7349975033 |
| Practice Fax Number | 8448555210 |
| Mailing Telephone | 7349975033 |
| Mailing Fax Number | 8448555210 |
| Enumeration Date | 2007-08-18 |
| Last Update Date | 2019-07-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
6301016458 | MI | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PSY22977 | CA | Behavioral Health & Social Service Providers |
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
6301016458 | MI | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 44450 Pinetree Dr, Suite 101, Plymouth, MI 481703869 | 7347380897 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417130899 | Beth M Pearson | Pharmacist | 2420 Santa Barbara Blvd, Cape Coral, FL 33914-4485 | 2007-12-09 |
| Street Address |
3001 PLYMOUTH RD STE 105 |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48105-3205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922506872 | Emily Gach | Social Worker | 3001 Plymouth Rd Ste 105, Ann Arbor, MI 48105-3205 | 2018-01-25 |
| 1679085112 | Arbor Psychology Group North Campus Pllc | Psychologist | 3001 Plymouth Rd Ste 105, Ann Arbor, MI 48105-3205 | 2017-10-24 |
| 1710338249 | Rebecca Gracia | Social Worker | 3001 Plymouth Rd Ste 105, Ann Arbor, MI 48105-3205 | 2016-06-27 |
| 1497164743 | Christine Magness | Social Worker | 3001 Plymouth Rd Ste 105, Ann Arbor, MI 48105 | 2014-08-11 |
| 1427492008 | Jennifer Burke | Social Worker | 3001 Plymouth Rd Ste 105, Ann Arbor, MI 48105-3205 | 2013-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730728718 | Alexander Jendrusina | Psychologist | Va Ann Arbor Healthcare System, 2215 Fuller Rd, Ann Arbor, MI 48105 | 2019-12-23 |
| 1417515875 | Christine Shyh Wang | Student in an Organized Health Care Education/Training Program | 4029 Avenue Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2019-05-31 |
| 1013475003 | Ryan Wang | Physician Assistant | 4883 S. Ridgeside Cir, Ann Arbor, MI 48105 | 2019-03-08 |
| 1801366265 | Amruta Sonavaria | Physical Therapist | 4701 East Huron River Drive, Ann Arbor, MI 48105 | 2018-11-28 |
| 1568955730 | Alexander Sliwicki | Pediatrics | 1500 East Medical Drive, Medical Professional Building, Ann Arbor, MI 48105 | 2018-06-12 |
| 1902398464 | Austin Remington | Student in an Organized Health Care Education/Training Program | 4029 Ave Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2018-05-31 |
| 1881191658 | Stephen James Hickner | Student in an Organized Health Care Education/Training Program | St. Mary Mercy Outpatient Psychiatric Services, 2006 Hogback Road, Suite 1, Ann Arbor, MI 48105 | 2018-04-09 |
| 1245681709 | Winnie Nhan | Internal Medicine | 4000 Ave Maria Dr, Lobby C Suite 1300, Ann Arbor, MI 48105 | 2016-06-27 |
| 1861857971 | Connie Chen | Pharmacist | 2215 Fuller Road (119), Ann Arbor, MI 48105 | 2015-12-17 |
| 1407241193 | Stefan Craciun | Emergency Medicine | 3484 Ashburnam Rd, Ann Arbor, MI 48105 | 2015-03-31 |
| Find all providers in zip 48105 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700198009 | Erin Christine Hunter-veatch | Psychologist | 500 E. Washington St., Suite 100, Ann Arbor, MI 48104 | 2010-07-02 |
| 1952326837 | University Center for The Child and Family | Psychologist | 500 E Washington St Ste 100, Ann Arbor, MI 48104-2057 | 2006-07-13 |
| 1255830485 | Jennifer Culver, Ph.d., LLC | Psychologist | 455 E Eisenhower Pkwy Ste 15, Ann Arbor, MI 48108-3321 | 2018-02-02 |
| 1679085112 | Arbor Psychology Group North Campus Pllc | Psychologist | 3001 Plymouth Rd Ste 105, Ann Arbor, MI 48105-3205 | 2017-10-24 |
| 1710403597 | Cassie Nell Ross | Psychologist | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2017-08-14 |
| 1841600103 | University of Michigan Center for The Child and Family | Psychologist | 500 E Washington St Ste 100, Ann Arbor, MI 48104-2057 | 2014-05-07 |
| 1972853570 | Susan Alison Risi | Psychologist | 1565 Eastover Pl, Ann Arbor, MI 48104-6316 | 2012-09-12 |
| 1770856221 | Nestor L Lopez-duran | Psychologist | 530 Church St Ste 1465, Ann Arbor, MI 48109-1043 | 2012-02-14 |
| 1659515948 | Shannon Nichole Mathison | Psychologist | 2140 E Ellsworth Rd, Ann Arbor, MI 48108-2552 | 2009-04-30 |
| 1639209695 | Lisa Marie Farmer | Psychologist | 2006 Hogback Rd, Suite A, Ann Arbor, MI 48105-9750 | 2007-03-07 |
| Find all providers in ANN ARBOR | ||||
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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.