Individual provider Active NPI

Sharon Anne Pugh, PHD, MP

  • Prescribing (Medical) Psychologist
  • Alexandria, LA
National Provider Identifier
1871561548
Registry record updated Apr 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prescribing (Medical) PsychologistTaxonomy code 103TP0016X
License
MPAP000034 Issued in LA
Practice address
5016 Pheasant Run
Alexandria, LA 71303-2450
Phone
(318) 308-1319
NPI assigned
Mar 9, 2006
Last updated
Apr 25, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 906 LA
Prescribing (Medical) Psychologist 103TP0016X MP0906 LA
Prescribing (Medical) Psychologist 103TP0016X MPAP000034 LA Primary

Addresses

Primary practice location

5016 Pheasant Run
Alexandria, LA 71303-2450

Mailing address

5016 Pheasant Run
Alexandria, LA 71303-2450
Phone (318) 308-1319

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
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5016 Pheasant Run
Alexandria, LA 71303-2450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
906LAMDClinical Psychologist
MP0906LAMDPrescribing (Medical) Psychologist
MPAP000034LAMDPrescribing (Medical) Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Central la Human Services District CurrentSince Jul 1, 2017 Accepting new patients
Central la Human Services District CurrentSince Jul 1, 2017 Accepting new patients
Fawaz Abdrabbo MD Past Accepting new patients
Mississippi Neuropsychiatric Clinic, PLLC Past Accepting new patients

Locations

5411 Coliseum Blvd
Alexandria, LA 71303
Phone (318) 484-2347

694 Government St
Marksville, LA 71351
Phone (318) 253-9638

242 W Shamrock Ave
Unit 1
Pineville, LA 71360
Phone (318) 484-6850

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493078400000",
    "number": "1871561548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5016 PHEASANT RUN",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713032450",
            "telephone_number": "318-308-1319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5016 PHEASANT RUN",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713032450",
            "telephone_number": "318-308-1319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUGH",
        "first_name": "SHARON",
        "middle_name": "ANNE",
        "credential": "PHD, MP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2017-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "LA",
            "license": "906",
            "primary": false
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "LA",
            "license": "MP0906",
            "primary": false
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "LA",
            "license": "MPAP000034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.