Active NPI
Michele W Dugan, MA
- Psychologist
- Kutztown, PA
National Provider Identifier
1093875445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS007101L
- Practice address
- 133 East Main St
Kutztown, PA 19530 - Phone
- (610) 858-0369
- NPI assigned
- Dec 8, 2006
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS007101L | PA | Primary |
Addresses
Primary practice location
133 East Main St
Kutztown, PA 19530
Mailing address
133 East Main St
Kutztown, PA 19530
Phone (610) 858-0369
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS007101L | PA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453593600000",
"number": "1093875445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 EAST MAIN ST",
"city": "KUTZTOWN",
"state": "PA",
"postal_code": "19530",
"telephone_number": "610-858-0369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 EAST MAIN ST",
"city": "KUTZTOWN",
"state": "PA",
"postal_code": "19530",
"telephone_number": "610-858-0369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUGAN",
"first_name": "MICHELE",
"middle_name": "W",
"name_prefix": "Mrs.",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-08",
"last_updated": "2016-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS007101L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.