DR. JEAN-PAUL PEGERON (NPI# 1730233966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730233966 |
| Entity Type | Individual |
| Full Name | DR. JEAN-PAUL PEGERON |
| Credential | MD |
| Practice Address |
425 E Washington St Ann Arbor MI 48104-2024 |
| Mailing Address |
425 E Washington St Suite 104-s Ann Arbor MI 48104-2024 |
| Practice Telephone | 7349950101 |
| Mailing Telephone | 7349950101 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
JP035054 | MI | Allopathic & Osteopathic Physicians |
| X | 102L00000X | Psychoanalyst | 4301035054 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS OF MICHIGAN | 2608121770 | 01 |
| Street Address |
425 E WASHINGTON ST |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48104-2024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598747842 | Margaret Collier Buttenheim | Psychologist | 425 E Washington St, #202n, Ann Arbor, MI 48104-2024 | 2005-11-14 |
| 1881869022 | Laura Gail Nisenson | Psychologist | 425 E Washington St, Suite 101d, Ann Arbor, MI 48104-2024 | 2008-04-29 |
| 1942410055 | Suzanne F. Bates | Psychologist | 425 E Washington St, Suite 106 South, Ann Arbor, MI 48104-2024 | 2007-05-23 |
| 1629299961 | Daniel Eli Greenberg | Psychologist | 425 E Washington St, Suite 105 S., Ann Arbor, MI 48104-2024 | 2007-05-02 |
| 1992829089 | Patricia Louise Fox | Psychologist | 425 E Washington St, Suite 206n, Ann Arbor, MI 48104-2024 | 2007-03-16 |
| 1649312190 | Pamela Sears Ludolph | Psychologist | 425 E Washington St, Suite 201d, Ann Arbor, MI 48104-2024 | 2007-02-13 |
| 1932249182 | Tyra Van Gilder Lemmen | Social Worker | 425 E Washington St, Suite 101-a, Ann Arbor, MI 48104-2024 | 2007-02-07 |
| 1104981893 | Linda Joy Young | Psychologist | 425 E Washington St, Suite201b, Ann Arbor, MI 48104-2024 | 2006-12-25 |
| 1457433823 | Naomi Barends Alcaine | Psychologist | 425 E Washington St, Suite 106w, Ann Arbor, MI 48104-2024 | 2006-10-19 |
| 1982614335 | Alex William Barends | Psychologist | 425 E Washington St, Suite 106w, Ann Arbor, MI 48104-2024 | 2006-08-08 |
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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 |
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| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427602929 | Ashwini Gulwadi, Pllc | Psychiatry & Neurology | 2100 S Main Street, Suite A, Unit 4, Ann Arbor, MI 48103 | 2019-08-01 |
| 1235585829 | Andrew Timothy Schmale | Psychiatry & Neurology | 320 N Main St Ste 300, Ann Arbor, MI 48104-1127 | 2016-05-12 |
| 1386029445 | Louis Feurino Md Pllc | Psychiatry & Neurology | 900 Victors Way Ste 240, Ann Arbor, MI 48108-2705 | 2015-07-29 |
| 1568859635 | Joseph C Ikekwere | Psychiatry & Neurology | 4250 Plymouth Rd Dept Of, Ann Arbor, MI 48109-2700 | 2015-04-16 |
| 1700204609 | Sajeeb Adhikary | Psychiatry & Neurology | 2006 Hogback Road, Suite 1, Ann Arbor, MI 48105 | 2014-03-29 |
| 1285900324 | Suzanne M Sutherland | Psychiatry & Neurology | 729 Peninsula Ct, Ann Arbor, MI 48105-2507 | 2012-03-22 |
| 1114235686 | Peter Blos Jr. Jr. | Psychiatry & Neurology | 111 S 4th Ave, #2, Ann Arbor, MI 48104-1901 | 2010-09-18 |
| 1962630897 | Numa P. Cabrera | Psychiatry & Neurology | 2115 Churchill, Ann Arbor, MI 48103-6000 | 2009-06-30 |
| 1417183047 | Kwang Cho Kim | Psychiatry & Neurology | 3745 Charter Pl, Ann Arbor, MI 48105-2826 | 2009-06-10 |
| 1376780742 | Jonathan A Sugar | Psychiatry & Neurology | 339 E Liberty St, Suite 330, Ann Arbor, MI 48104-2276 | 2009-01-07 |
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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.