Individual provider Active NPI

Claudia G. Pitts, PH.D.

  • Psychologist
  • Lake Zurich, IL
National Provider Identifier
1285793703
Registry record updated Feb 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
071-004840 Issued in IL
Practice address
350 Surryse Rd
Suite 300
Lake Zurich, IL 60047-3217
Phone
(847) 726-2400
NPI assigned
Dec 8, 2006
Last updated
Feb 9, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 071-004840 IL Primary

Addresses

Primary practice location

350 Surryse Rd
Suite 300
Lake Zurich, IL 60047-3217

Mailing address

1 Golfview Rd
Suite 4
Lake Zurich, IL 60047-1210
Phone (847) 726-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080108000197 IL Practitioner - Clinical Psychologist 5890875579 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clocktower Psychological Associates LTDGroup PAC ID 5991885675, 5 clinicians

Practice addresses (Care Compare)

1 Golfview Rd
Lake Zurich, IL 60047-1210
Phone (847) 726-2400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071-004840ILMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Clocktower Psychological Associates, LTD. Psychologist CurrentSince Dec 3, 2007 Accepting new patients

Locations

1 Golfview Rd
Ste 4
Lake Zurich, IL 60047
Phone (847) 726-1400

350 Surryse Rd
Ste 300
Lake Zurich, IL 60047
Phone (847) 726-2400

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234137600000",
    "number": "1285793703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GOLFVIEW RD",
            "address_2": "SUITE 4",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600471210",
            "telephone_number": "847-726-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 SURRYSE RD",
            "address_2": "SUITE 300",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600473217",
            "telephone_number": "847-726-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTS",
        "first_name": "CLAUDIA",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2009-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071-004840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Zurich, IL

Sources for this page

Verify at the official NPI Registry.