Joseph Dragun, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301009329 Issued in MI

Practice address

5841 Whitmore Lake Rd
Ste a
Brighton, MI 48116-2470

Phone

(810) 227-6218

Fax

(844) 965-9618

NPI assigned

Feb 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Optimum Balance

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fenton, MI
  • NPI 1245767888
  Medicare reassignment NPD
• Diagnostic Radiologists, PC

  • Diagnostic Radiology Physician
  • Portland, OR
  • NPI 1780702993
  NPD (past)

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468972800000",
    "number": "1093789448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5841 WHITMORE LAKE RD",
            "address_2": "STE A",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481162470",
            "telephone_number": "810-227-6218",
            "fax_number": "844-965-9618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5841 WHITMORE LAKE RD",
            "address_2": "STE A",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481162470",
            "telephone_number": "810-227-6218",
            "fax_number": "844-965-9618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAGUN",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2016-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301009329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Brighton, MI
• Providers in Brighton, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.