MAXINE PEGRAM
NPI 1255866828
Psychologist in Brighton, MI

Active since April 20, 2017
100 ORNDORF DR UNIT 1216, BRIGHTON, MI 48116(248) 867-0490 Get Directions Write a Review

NPPES record last updated: November 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 14, 2024, Apr 24, 2017, Apr 20, 2017 (3 updates tracked since 2017).

About Maxine Pegram NPPES

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

MAXINE PEGRAM (NPI 1255866828) is an individual psychologist in Brighton, Michigan, licensed in Michigan (6301019089) and active in the NPI registry since April 2017.

NPPES Registry Identity

NPI1255866828
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMAXINE PEGRAM
Location Address100 ORNDORF DR UNIT 1216Brighton, MI 48116-7052
Mailing Address100 Orndorf Dr Unit 1216Brighton, MI 48116-7052 · (248) 867-0490
Sole ProprietorYes
Enumeration DateApril 20, 2017
Last NPPES UpdateNovember 14, 20243 updates tracked since enumeration
NPPES CertifiedNovember 14, 2024
NPI 1255866828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MI · 6301019089
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.
100 ORNDORF DR UNIT 1216, Brighton, MI 48116

Other Names 1

Professional Name (2)Dr. Maxine Pegram Psychologist, Psyd

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 Maxine Pegram's NPI number?

The NPI number for Maxine Pegram is 1255866828. It was assigned to this individual provider in the NPPES registry on April 20, 2017. The provider is also known as Dr. Maxine Pegram Psychologist, Psyd.

Where is Maxine Pegram located?

Maxine Pegram practices at 100 Orndorf Dr Unit 1216, Brighton, MI 48116. The listed phone number is (248) 867-0490.

What is Maxine Pegram's specialty?

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

When was this NPI record last updated?

The NPPES record for Maxine Pegram was last updated on November 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.