Active NPI
Edward John Bitter, PH.D.
- Clinical Psychologist
- Tarzana, CA
National Provider Identifier
1124043179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY043401
- Practice address
- 19634 Ventura Blvd
Ste. 325
Tarzana, CA 91356-2966 - Phone
- (818) 345-2341
- Fax
- (818) 345-7736
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY043401 | CA | Primary |
Addresses
Primary practice location
19634 Ventura Blvd
Ste. 325
Tarzana, CA 91356-2966
Mailing address
17115 Williams Oak Dr
Cypress, TX 77433-4543
Phone (310) 277-0190
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5422000PL43400 | Other | CA | BLUE SHIELD OF CALIFORNIA |
| PSY043401 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
9525 Katy Fwy
Suite 312
Houston, TX 77024-1467
Phone (713) 463-9449
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY043401 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BHC- Behavioral Health Consultants, Inc | Clinical | Current | Accepting new patients |
Locations
9525 Katy Fwy
Ste 312
Houston, TX 77024
Phone (713) 343-3953
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315526400000",
"number": "1124043179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17115 WILLIAMS OAK DR",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774334543",
"telephone_number": "310-277-0190",
"fax_number": "281-758-5400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19634 VENTURA BLVD",
"address_2": "STE. 325",
"city": "TARZANA",
"state": "CA",
"postal_code": "913562966",
"telephone_number": "818-345-2341",
"fax_number": "818-345-7736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BITTER",
"first_name": "EDWARD",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2011-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY043401",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CALIFORNIA",
"identifier": "5422000PL43400",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PSY043401",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tarzana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.