Kerry R Pitter, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

35S100589500 Issued in NJ

Practice address

221 River Street, 9TH Floor
Hoboken, NJ 07030

Phone

(551) 204-2930

NPI assigned

Jul 27, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Progressive Option Support Services Behavioral Health

  • Behavior Analyst
  • San Antonio, TX
  • NPI 1528959335
  NPD Authorized official
• Progressive Option Support Services Behavioral Health

  • Behavior Analyst
  • Atlanta, GA
  • NPI 1558153809
  NPD Authorized official

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1578040952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 RIVER STREET, 9TH FLOOR",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "07030",
            "telephone_number": "551-204-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 RIVER STREET, 9TH FLOOR",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "07030",
            "telephone_number": "551-204-2930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "149 S Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Westfield",
            "state": "NJ",
            "postal_code": "07090",
            "country_code": "US",
            "telephone_number": "551-204-2930",
            "fax_number": "201-328-9424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PITTER",
        "first_name": "KERRY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-27",
        "last_updated": "2023-06-27",
        "certification_date": "2020-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "12045217",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35S100589500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johan A Picard, MD
• Hailey Piemonte
• Martin S Pine, M.D.
• Thomas Louis Pini, LPC, LCADC
• Pioneer Medical, LLC
• Charissa D Pizarro, PSY. D
• Planet Wellness
• Raul Antonio Plasencia, LCSW
• Plastic Surgery Practice of Hoboken PC
• Larisa Ploshchanskaya, M.D.

• Psychologist in Hoboken, NJ
• Providers in Hoboken, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.