Individual provider Active NPI

Norman Walter Pitt, PH.D.

  • Clinical Psychologist
  • Philadelphia, PA
National Provider Identifier
1407922933
Registry record updated Jan 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS-003177-L Issued in PA
Practice address
7932 Germantown Ave
(Rear Office Suite)
Philadelphia, PA 19118-3511
Phone
(215) 247-6464
Fax
(610) 519-4050
NPI assigned
Nov 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS-003177-L PA Primary

Addresses

Primary practice location

7932 Germantown Ave
(Rear Office Suite)
Philadelphia, PA 19118-3511

Mailing address

1239 Shackamaxon Street
Philadelphia, PA 19125-3913
Phone (215) 247-6464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20120106000616 PA Practitioner - Clinical Psychologist 4789850090 Practice locations: Philadelphia, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1239 Shackamaxon St
Philadelphia, PA 19125-3913
Phone (215) 247-6464

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": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484524800000",
    "number": "1407922933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 SHACKAMAXON STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191253913",
            "telephone_number": "215-247-6464",
            "fax_number": "610-519-7909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7932 GERMANTOWN AVE",
            "address_2": "(REAR OFFICE SUITE)",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191183511",
            "telephone_number": "215-247-6464",
            "fax_number": "610-519-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITT",
        "first_name": "NORMAN",
        "middle_name": "WALTER",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2017-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS-003177-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.