Organization Active NPI

Michael Pitts, Psy.D., P.C.

  • Clinical Psychologist
  • Roswell, GA
National Provider Identifier
1124143763
Registry record updated Sep 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY001830 Issued in GA
Legal business name
MICHAEL PITTS, PSY.D., P.C.
Practice address
70 Mansell CT
Suite 100
Roswell, GA 30076-1523
Phone
(770) 594-8003
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2014

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

Authorized official

Name
Dr. Michael R Pitts, PSY.D.
Title
Ceo
Phone
(770) 594-8003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY001830 GA Primary

Addresses

Primary practice location

70 Mansell CT
Suite 100
Roswell, GA 30076-1523

Mailing address

70 Mansell CT
Suite 100
Roswell, GA 30076-1523
Phone (770) 594-8003

National Provider Directory

National Provider Directory

Locations

70 Mansell Ct
Ste 100
Roswell, GA 30076
Phone (770) 594-8003

1002 Slater St
Valdosta, GA 31601
Phone (229) 253-8400

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411084800000",
    "number": "1124143763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 MANSELL CT",
            "address_2": "SUITE 100",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761523",
            "telephone_number": "770-594-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 MANSELL CT",
            "address_2": "SUITE 100",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761523",
            "telephone_number": "770-594-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL PITTS, PSY.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2014-09-19",
        "status": "A",
        "authorized_official_last_name": "PITTS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-594-8003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY001830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.