Active NPI
John E Pugh, PHD
- Psychologist
- Ephrata, PA
National Provider Identifier
1801965983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS-006830L
- Practice address
- 491 Peach Rd
Ephrata, PA 17522 - Phone
- (717) 606-7652
- Fax
- (717) 336-4014
- NPI assigned
- Nov 6, 2006
- Sex
- Male
- 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 | PS-006830L | PA | Primary |
Addresses
Primary practice location
491 Peach Rd
Ephrata, PA 17522
Mailing address
1025 S Cocalico Rd
Denver, PA 17517-9545
Phone (717) 606-7652
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 383875 | Other | PA | VALUE OPTIONS |
| 0018870100002 | Medicaid | PA | |
| 1548470 | Other | PA | GATEWAY MEDICARE ASSURED |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS-006830L | PA | MD | Psychologist |
Organizations & group practices 1
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.
-
- Psychologist
- Denver, PA
- NPI 1093053761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801965983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 S COCALICO RD",
"city": "DENVER",
"state": "PA",
"postal_code": "175179545",
"telephone_number": "717-606-7652",
"fax_number": "717-336-4014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "491 PEACH RD",
"city": "EPHRATA",
"state": "PA",
"postal_code": "17522",
"telephone_number": "717-606-7652",
"fax_number": "717-336-4014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUGH",
"first_name": "JOHN",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS-006830L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "383875",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0018870100002",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY MEDICARE ASSURED",
"identifier": "1548470",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ephrata, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.