Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mickeal Pugh Jr., PHD

Individual provider Psychologist · NPI 1093597601

Mickeal Pugh Jr., PHD is a Clinical Psychologist in Beverly Hills, California. Graduated from Virginia Commonwealth University, School of Medicine in 2022, 4 years ago. Practices with The Regents of the University of California, a 1,414-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California and Virginia.

Years since qualifying
4
Trained at
Virginia Commonwealth University, School of Medicine
Licensed in
CA, VA
In the registry since
2023
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

9675 Brighton Way Ste 422
Beverly Hills, CA 90210-5139
Phone: (310) 273-0040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 34826 (CA)
Psychologist Taxonomy 103T00000X · Licence 0810008701 (VA)

Record details

NPI number1093597601
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedOctober 18, 2023
Last updated in NPPESMarch 23, 2026
Certification dateMarch 23, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolVIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice The Regents Of The University Of California — 1414 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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