Joanna Pepe, MA, LLP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301007365 Issued in MI

Practice address

3189 Logan Valley Rd
Traverse City, MI 49684-4772

Phone

(231) 325-0082

Fax

(231) 932-7693

NPI assigned

Feb 26, 2009

Last updated

Feb 26, 2009By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Jivanta Chiropractic Wellness Centre PLLC

  • Chiropractor
  • Traverse City, MI
  • NPI 1912247743
  NPD (past)
• Rising Star Wellness Center PLC

  • Family Medicine Physician
  • Traverse City, MI
  • NPI 1215988845
  NPD (past)

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

{
    "created_epoch": "1235606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235606400000",
    "number": "1619117967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29",
            "city": "EMPIRE",
            "state": "MI",
            "postal_code": "496300029",
            "telephone_number": "231-325-0082",
            "fax_number": "231-932-7693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3189 LOGAN VALLEY RD",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496844772",
            "telephone_number": "231-325-0082",
            "fax_number": "231-932-7693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEPE",
        "first_name": "JOANNA",
        "name_prefix": "Ms.",
        "credential": "MA, LLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-26",
        "last_updated": "2009-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301007365",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301007365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renea Pender
• Kathryn Penfold, M.SC
• Christopher Jakob Penix
• Melissa Pennington
• People in Bloom PLC
• Joanne Peregrine
• Katie Jane Perez
• Jennifer Marie Perkins, D.O.
• Philip Lee Perkins, MD
• Arianna E Apelgren Perra, PSY.D.

• Clinical Psychologist in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2009; 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.