Mickeal Pugh Jr., PHD
NPI 1093597601ActiveIndividual· Psychologist· Beverly Hills, CA
Psychologist (PHD) in Beverly Hills, California, trained at Virginia Commonwealth University, School of Medicine (class of 2022). Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1093597601 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | Yes |
| NPI issued | Oct 18, 2023 |
| Last updated in NPPES | Mar 23, 2026 |
| Certified by provider | Mar 23, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 34826 | CA |
| Psychologist | 103T00000X | 0810008701 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (CA) |
|---|
Education and affiliations
| Medical school | Virginia Commonwealth University, School of Medicine |
|---|---|
| Graduation year | 2022 |
| Medicare specialty | Clinical Psychologist |
Medical group
- The Regents of the University of CaliforniaSanta Monica, CA · 1,462 clinicians
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All 84 psychologists in Beverly Hills · All psychologists in California