Organization Active NPI

Pittman Psychiatry and Recovery, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Dallas, TX
National Provider Identifier
1518219005
Registry record updated Oct 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
N8058 Issued in TX
Legal business name
PITTMAN PSYCHIATRY AND RECOVERY, PLLC
Practice address
8215 Westchester Dr Ste 307
Dallas, TX 75225-6117
Phone
(682) 651-5320
Fax
(817) 225-2408
NPI assigned
Oct 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2012

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

Authorized official

Name
Dr. Julie Ross Pittman, MD, PHD
Title
President
Phone
(682) 651-5320

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X N8058 TX Primary

Addresses

Primary practice location

8215 Westchester Dr Ste 307
Dallas, TX 75225-6117

Mailing address

1000 Yukon Dr
Mansfield, TX 76063-6348
Phone (682) 651-5320

Other identifiers 1

IdentifierTypeStateIssuer
1679609093OtherTXNPI OF PRACTICING PHYSICIAN

National Provider Directory

National Provider Directory

Locations

8215 Westchester Dr
Ste 307
Dallas, TX 75225
Phone (214) 288-9241

NPI Registry JSON

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

{
    "created_epoch": "1349654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349654400000",
    "number": "1518219005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 YUKON DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636348",
            "telephone_number": "682-651-5320",
            "fax_number": "817-225-2408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8215 WESTCHESTER DR STE 307",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752256117",
            "telephone_number": "682-651-5320",
            "fax_number": "817-225-2408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PITTMAN PSYCHIATRY AND RECOVERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-08",
        "last_updated": "2012-10-08",
        "status": "A",
        "authorized_official_last_name": "PITTMAN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "682-651-5320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "TX",
            "license": "N8058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI OF PRACTICING PHYSICIAN",
            "identifier": "1679609093",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; 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.