Phillip O Pegg Jr., PH.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PYT0122 Issued in MO

Practice address

2790 Clay Edwards Dr Ste 1250
C/O Hellman & Rosen Endocrine
North Kansas City, MO 64116-3260

Phone

(816) 421-3700

Fax

(816) 421-1654

NPI assigned

Jun 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. Phillip O Pegg Jr. Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465516800000",
    "number": "1508802893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 CLAY EDWARDS DR STE 1250",
            "address_2": "C/O HELLMAN & ROSEN ENDOCRINE",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163260",
            "telephone_number": "816-421-3700",
            "fax_number": "816-421-1654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 CLAY EDWARDS DR STE 1250",
            "address_2": "C/O HELLMAN & ROSEN ENDOCRINE",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163260",
            "telephone_number": "816-421-3700",
            "fax_number": "816-421-1654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEGG",
        "first_name": "PHILLIP",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2016-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "1390",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "PYT0122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01644526",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHILLIP",
            "last_name": "PEGG",
            "middle_name": "O",
            "prefix": "DR.",
            "suffix": "JR.",
            "credential": "PH.D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• David D Paul, D.O.
• Robert F. Paul, D.O.
• Ahmad Pazhoohi, PHARMD
• Bethany K Peasley, CRNA
• Andrew Peck, M.D.
• Rachel Pella
• Ana Tonin Pellumbi, PHARMD
• Stephen Person, D.O.
• Ashley Pflumm, DNP FNPC ENPC
• Truong Pham, D.C.,CERTIFIED ACUP

• Clinical Psychologist in North Kansas City, MO
• Providers in North Kansas City, MO by specialty
• Clinical Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.

Verify at the official NPI Registry.