Individual provider Active NPI

Matt Bitsko, PH.D.

  • Psychologist
  • Richmond, VA
National Provider Identifier
1336397751
Registry record updated Aug 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
0810003711 Issued in VA
Practice address
1101 East Marshall Street
Sanger Hall, 12-020
Richmond, VA 23298-6455
Phone
(804) 828-9048
Fax
(804) 828-0504
NPI assigned
Aug 28, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 0810003711 VA Primary

Addresses

Primary practice location

1101 East Marshall Street
Sanger Hall, 12-020
Richmond, VA 23298-6455

Mailing address

1101 East Marshall Street
Sanger Hall, 12-020
Richmond, VA 23298-6455
Phone (804) 828-9048

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219881600000",
    "number": "1336397751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 EAST MARSHALL STREET",
            "address_2": "SANGER HALL, 12-020",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232986455",
            "telephone_number": "804-828-9048",
            "fax_number": "804-828-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 EAST MARSHALL STREET",
            "address_2": "SANGER HALL, 12-020",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232986455",
            "telephone_number": "804-828-9048",
            "fax_number": "804-828-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BITSKO",
        "first_name": "MATT",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-28",
        "last_updated": "2008-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VA",
            "license": "0810003711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; 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.