Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1255866828 Individual Practitioner Female Practitioner

Maxine Pegram

Psychologist • Brighton, MI

Professional Overview & Biography Verified Profile Summary

Maxine Pegram is a registered healthcare professional specializing in Psychologist in Brighton, MI. Practice services are available at 100 ORNDORF DR UNIT 1216 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

100 Orndorf Dr Unit 1216

Brighton, MI 481167052

Telephone 2488670490

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Brighton, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.0 Yrs
State Avg: 26.4 Yrs
Regional Practice Density
24 Specialists

Practicing in Brighton, MI (2669 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-11-14
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License MI 6301019089

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location November 14, 2024

Registered at 100 ORNDORF DR UNIT 1216, BRIGHTON, MI 481167052 (Tel: 2488670490)

📍
Updated Business Mailing Address November 14, 2024

Registered at 100 ORNDORF DR UNIT 1216, BRIGHTON, MI 481167052 (Tel: 2488670490)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 14, 2024

Psychologist (License #6301019089 in MI)

NPI Profile Active April 24, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 24, 2017

Registered at 1777 AXTELL DR, SUITE 100, TROY, MI 480844404 (Tel: 2483851193)

📍
Updated Business Mailing Address April 24, 2017

Registered at 1777 AXTELL DR, TROY, MI 480844404 (Tel: 2488670490)

👤
Provider Name / Credentials Updated April 24, 2017

Recorded as MAXINE PEGRAM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 24, 2017

Psychologist (License #6301016428 in MI)

🟢
Initial NPI Registration & Enumeration April 20, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255866828
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 20, 2017
Last Update: November 14, 2024
Sole Proprietor: Yes

Mailing Address

100 Orndorf Dr Unit 1216

Brighton, MI 481167052

Phone: 2488670490

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.