Active NPI
Michael Pitts, Psy.D., P.C.
- Clinical Psychologist
- Roswell, GA
National Provider Identifier
1124143763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY001830
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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 DirectoryLocations
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.
-
- Counseling Psychologist
- Brookhaven, GA
- NPI 1457388019
-
- Psychologist
- Valdosta, GA
- NPI 1720003262
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.