Individual provider Active NPI

Robert Marshall Pitts Jr., PSYD

  • Psychologist
  • Birmingham, AL
National Provider Identifier
1568570786
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
549 Issued in AL
Practice address
2700 Rogers Drive
Suite 101
Birmingham, AL 35209
Phone
(205) 870-3520
Fax
(205) 870-3522
NPI assigned
Aug 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 549 AL Primary

Addresses

Primary practice location

2700 Rogers Drive
Suite 101
Birmingham, AL 35209

Mailing address

2204 Lakeshore Drive
Suite 220
Birmingham, AL 35209
Phone (205) 874-8300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20061229000281 AL Practitioner - Clinical Psychologist 6901833243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pitts Mental Health Associates IncGroup PAC ID 6103853445, 13 clinicians

Practice addresses (Care Compare)

601 Beacon Pkwy W
Suite 201
Birmingham, AL 35209-3123
Phone 20587035207811

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
549ALMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pitts Mental Health Associates, Inc. CurrentSince Jan 3, 2005 Accepting new patients
Grayson and Associates PC PastSince Aug 1, 2008 Accepting new patients
SVPS Psychiatric Services LLC Past Accepting new patients

Locations

601 Beacon Pkwy W
Ste 201
Birmingham, AL 35209
Phone (205) 536-7811

2700 Rogers Dr
Ste 204
Homewood, AL 35209
Phone (205) 870-3520

2700 Rogers Dr
Ste 101
Homewood, AL 35209
Phone (205) 870-0204

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568570786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 LAKESHORE DRIVE",
            "address_2": "SUITE 220",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35209",
            "telephone_number": "205-874-8300",
            "fax_number": "205-874-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 ROGERS DRIVE",
            "address_2": "SUITE 101",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35209",
            "telephone_number": "205-870-3520",
            "fax_number": "205-870-3522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTS",
        "first_name": "ROBERT",
        "middle_name": "MARSHALL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AL",
            "license": "549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.