Organization Active NPI

Dorothy C Pettigrew PSYD PC

  • Clinical Psychologist
  • Houston, TX
National Provider Identifier
1285945766
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
22570 Issued in TX
Legal business name
DOROTHY C PETTIGREW PSYD PC
Practice address
4615 Southwest Fwy
430
Houston, TX 77027-7108
Phone
(713) 218-6855
Fax
(713) 218-6983
NPI assigned
Jun 29, 2010
Last updated
Dec 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Authorized official

Name
Dr. Dorothy Carol Pettigrew, PSY. DNPI 1902915705
Title
Clinical Psychologist
Phone
(713) 218-6855

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 22570 TX Primary

Addresses

Primary practice location

4615 Southwest Fwy
430
Houston, TX 77027-7108

Mailing address

PO Box 310035
Houston, TX 77231-0035
Phone (713) 218-6855

Other identifiers 1

IdentifierTypeStateIssuer
1000457-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100720000798 TX Part B Supplier - Clinic/Group Practice 8224160676 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

4615 Southwest Fwy
Ste 430
Houston, TX 77027
Phone (713) 218-6855

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765497600000",
    "number": "1285945766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310035",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772310035",
            "telephone_number": "713-218-6855",
            "fax_number": "713-218-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4615 SOUTHWEST FWY",
            "address_2": "430",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770277108",
            "telephone_number": "713-218-6855",
            "fax_number": "713-218-6983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOROTHY C PETTIGREW PSYD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-29",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A",
        "authorized_official_last_name": "PETTIGREW",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "CAROL",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "713-218-6855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY. D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "22570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000457-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.