MICKEAL PUGH JR. PHD
NPI 1093597601
Psychologist in Beverly Hills, CA

Active since October 18, 2023PECOS EnrolledAccepts Medicare Assignment
9675 BRIGHTON WAY STE 422, BEVERLY HILLS, CA 90210(310) 273-0040 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 23, 2026, Jun 6, 2025, Jul 1, 2024 and 1 more (4 updates tracked since 2023).

About Mickeal Pugh Jr. Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICKEAL PUGH JR. PHD (NPI 1093597601) is an individual psychologist in Beverly Hills, California, licensed in California (34826) and active in the NPI registry since October 2023. He is enrolled in Medicare PECOS and is a graduate of Virginia Commonwealth University, School Of Medicine (2022).

NPPES Registry Identity

NPI1093597601
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameMICKEAL PUGH JR.Credential: PHD
Location Address9675 BRIGHTON WAY STE 422Beverly Hills, CA 90210-5139
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631 · (310) 301-8707
Sole ProprietorYes
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 2022
Enumeration DateOctober 18, 2023
Last NPPES UpdateMarch 23, 20264 updates tracked since enumeration
NPPES CertifiedMarch 23, 2026
NPI 1093597601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses Licensed in CA · 34826 Licensed in VA · 0810008701
Definition
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 adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
9675 BRIGHTON WAY STE 422, Beverly Hills, CA 90210

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mickeal Pugh Jr. Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901320779
PECOS Enrollment IDI20250414002700
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Gastroenterology)
9675 BRIGHTON WAY STE 422
BEVERLY HILLS, CA 90210
Internal Medicine (Gastroenterology)
9675 BRIGHTON WAY STE 422
BEVERLY HILLS, CA 90210
Internal Medicine (Gastroenterology)
9675 BRIGHTON WAY STE 422
BEVERLY HILLS, CA 90210

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mickeal Pugh's NPI number?

The NPI number for Mickeal Pugh is 1093597601. It was assigned to this individual provider in the NPPES registry on October 18, 2023.

Where is Mickeal Pugh located?

Mickeal Pugh practices at 9675 Brighton Way Ste 422, Beverly Hills, CA 90210. The listed phone number is (310) 273-0040.

What is Mickeal Pugh's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Mickeal Pugh enrolled in Medicare?

Yes. Mickeal Pugh is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Mickeal Pugh was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.