Beth Lauren Pearson, PH.D.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

6301016458 Issued in MI

Practice address

3001 Plymouth Rd Ste 105
Ann Arbor, MI 48105-3205

Phone

(734) 997-5033

Fax

(844) 855-5210

NPI assigned

Aug 18, 2007

Last updated

Jul 2, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arbor Psychology Group Associates PLLC

  • Clinical Child & Adolescent Psychologist
  • Ann Arbor, MI
  • NPI 1821830886
  NPD Authorized official
• Arbor Psychology Group North Campus PLLC

  • Clinical Child & Adolescent Psychologist
  • Ann Arbor, MI
  • NPI 1679085112
  NPD Authorized official
• Arbor Psychology Group of Northville, PLLC

  • Clinical Psychologist
  • Northville, MI
  • NPI 1659898526
  NPD (past)
• Arbor Psychology Group, PLLC

  • Clinical Psychologist
  • Plymouth, MI
  • NPI 1952789877
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1053504597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 PLYMOUTH RD STE 105",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481053205",
            "telephone_number": "734-997-5033",
            "fax_number": "844-855-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 PLYMOUTH RD STE 105",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481053205",
            "telephone_number": "734-997-5033",
            "fax_number": "844-855-5210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44450 Pinetree Dr",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MI",
            "postal_code": "481703869",
            "country_code": "US",
            "telephone_number": "734-738-0897",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "BETH",
        "middle_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-18",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301016458",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "PSY22977",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MI",
            "license": "6301016458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pearle Vision Inc
• Kevin Michael Pearlman, MD
• Mark David Pearlman, MD
• Kelly Brianne Pearse, RD
• Jennifer Grace Pearson Prentice, PA-C
• Stacey M Pearson, PHD
• Victoria N Pearson
• Chad Pechumer, PA
• Amanda Elizabeth Peck, OTRL
• David Fraser Peck, PA-C

• Clinical Child & Adolescent Psychologist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Clinical Child & Adolescent Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.