Organization Active NPI

Roberta Hitt PHD PLC

  • Clinical Psychologist
  • Brighton, MI
National Provider Identifier
1538498951
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301013105 Issued in MI
Legal business name
ROBERTA HITT PHD PLC
Practice address
142 Brighton Lake Rd
Brighton, MI 48116-1738
Phone
(734) 649-0244
NPI assigned
Dec 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Authorized official

Name
Roberta Hitt, PHDNPI 1043547821
Title
Sole MBR
Phone
(734) 649-0244

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 6301013105 MI Primary

Addresses

Primary practice location

142 Brighton Lake Rd
Brighton, MI 48116-1738

Mailing address

142 Brighton Lake Rd
Brighton, MI 48116-1738
Phone (734) 649-0244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180726000748 MI Part B Supplier - Clinic/Group Practice 0648527309 Receives reassigned benefits from 1 practitioner
Practice locations: Ann Arbor, MI; Brighton, MI

National Provider Directory

National Provider Directory
Tax ID family
Roberta Hitt PHD PLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10524 Grand River Rd
Ste 107B
Brighton, MI 48116
Phone (734) 649-0244

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646265600000",
    "number": "1538498951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 BRIGHTON LAKE RD",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481161738",
            "telephone_number": "734-649-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 BRIGHTON LAKE RD",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481161738",
            "telephone_number": "734-649-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTA HITT PHD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-14",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A",
        "authorized_official_last_name": "HITT",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "734-649-0244",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301013105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.