Susan Marie Pittenger, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY0410 Issued in NV

Practice address

3732 Lakeside Dr Ste 200
Reno, NV 89509-4519

Phone

(775) 432-6399

Fax

(775) 432-6399

NPI assigned

Mar 29, 2006

Last updated

Mar 8, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

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

Specialty

Clinical Psychologist

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Yerington Paiute Tribal CouncilGroup PAC ID 1355329566, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: spittenger@ypt.directbygreenway.com

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.

• Yerington Paiute Tribal Council

  dba Yerington Paiute Tribal Health Clinic

  • Health Service Clinic/Center
  • Yerington, NV
  • NPI 1750338646
  Medicare reassignment Care Compare group NPD
• Behavioral Medicine Associates Inc

  • Community/Behavioral Health Agency
  • Reno, NV
  • NPI 1689843179

  Clinical

  NPD (past)
• Reno Sparks Indian Colony

  dba reno sparks tribal health center

  • Clinic/Center
  • Reno, NV
  • NPI 1497700801
  NPD (past)

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1295796365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3732 LAKESIDE DR STE 200",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895094519",
            "telephone_number": "775-432-6399",
            "fax_number": "775-432-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3732 LAKESIDE DR STE 200",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895094519",
            "telephone_number": "775-432-6399",
            "fax_number": "775-432-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTENGER",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2021-03-08",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NV",
            "license": "PY0410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cindy R. Pitlock, APN, CNM
• Daniel Kenneth Pitman, RN
• Emma Sue Pitman
• Kenneth W Pitman, M.D.
• Lyndsey Rae Pitman, RN
• Ramona Pittman
• Pitts Orthodontics Inc
• Arnold Charles Pitts, DDS,MSD
• Charles Hunter Pitts, DDS
• Earlyn Pitts

• Clinical Psychologist in Reno, NV
• Providers in Reno, NV by specialty
• Clinical Psychologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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.

Verify at the official NPI Registry.