Active NPI
Amy Paggeot, PH.D.
- Clinical Psychologist
- Ann Arbor, MI
National Provider Identifier
1003359928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301016883
- Practice address
- 2370 E Stadium Blvd # 195
Ann Arbor, MI 48104-4811 - Phone
- (734) 450-4509
- NPI assigned
- Nov 25, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301016883 | MI | Primary |
Addresses
Primary practice location
2370 E Stadium Blvd # 195
Ann Arbor, MI 48104-4811
Mailing address
2370 E Stadium Blvd # 195
Ann Arbor, MI 48104-4811
Phone (734) 450-4509
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301016883 | MI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764892800000",
"number": "1003359928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2370 E STADIUM BLVD # 195",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481044811",
"telephone_number": "734-450-4509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2370 E STADIUM BLVD # 195",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481044811",
"telephone_number": "734-450-4509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAGGEOT",
"first_name": "AMY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-25",
"last_updated": "2025-12-05",
"certification_date": "2025-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301016883",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.