Kay S Pitkin, PHD,LP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2261 Issued in MN

Practice address

301 4TH Ave S
N475 Grain Exchange
Minneapolis, MN 55415-1015

Phone

(612) 348-3963

Fax

(612) 317-6316

NPI assigned

Apr 20, 2007

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346467271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4026 WENTWORTH AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554091522",
            "telephone_number": "612-827-2933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 4TH AVE S",
            "address_2": "N475 GRAIN EXCHANGE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554151015",
            "telephone_number": "612-348-3963",
            "fax_number": "612-317-6316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITKIN",
        "first_name": "KAY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PHD,LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "2261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "5H264PI",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4217767",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Pisani Petrucci, MD, PHD
• Patrick James Pischke, LICSW
• Emily M Pisetsky, PH.D.
• Hollie Beth Pisseri, CNP
• Rosabella Teresina Pitera, MD
• Michael B Pitt, M.D.
• Paula J Pitterle, PHD LP
• Anita George Pittman, BSN, RN, PHN
• Heather Pittman
• Sarah Ann Pittman, NP

• Clinical Psychologist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.