Individual provider Active NPI

Henry E Pigott, PH.D.

  • Clinical Psychologist
  • Juno Beach, FL
National Provider Identifier
1619312204
Registry record updated May 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY 8663 Issued in FL
Practice address
430 N Lyra Cir
Juno Beach, FL 33408-1902
Phone
(443) 812-9497
NPI assigned
May 8, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2016

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 PY 8663 FL Primary

Addresses

Primary practice location

430 N Lyra Cir
Juno Beach, FL 33408-1902

Mailing address

430 N Lyra Cir
Juno Beach, FL 33408-1902
Phone (443) 812-9497

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20180531000496 MD Practitioner - Clinical Psychologist 4284927591 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PY 8663FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Neurothrive, LLC CurrentSince Apr 23, 2018 Accepting new patients
T Med Behavioral Inc Clinical Past Accepting new patients

Locations

1205 York Rd
Ste 11
Timonium, MD 21093
Phone (443) 325-0031

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1367971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462233600000",
    "number": "1619312204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 N LYRA CIR",
            "city": "JUNO BEACH",
            "state": "FL",
            "postal_code": "334081902",
            "telephone_number": "443-812-9497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 N LYRA CIR",
            "city": "JUNO BEACH",
            "state": "FL",
            "postal_code": "334081902",
            "telephone_number": "443-812-9497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIGOTT",
        "first_name": "HENRY",
        "middle_name": "E",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-08",
        "last_updated": "2016-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY 8663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juno Beach, FL

Sources for this page

Verify at the official NPI Registry.