Active NPI
Bridget J Roberts-Pittman, HSPP
- Clinical Psychologist
- Terre Haute, IN
National Provider Identifier
1740289834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 20042100A
- Practice address
- 500 8TH Ave
Terre Haute, IN 47804-4072 - Phone
- (812) 231-8376
- Fax
- (812) 231-8208
- NPI assigned
- Jul 20, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 20042100A | IN | Primary |
Addresses
Primary practice location
500 8TH Ave
Terre Haute, IN 47804-4072
Mailing address
500 8TH Ave
Terre Haute, IN 47804-4072
Phone (812) 231-8376
Other names 1
- Bridget J Roberts-Pittman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20042100A | IN | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hamilton Center, Inc. | Current | Accepting new patients | |
| Hamilton Center Inc. | Current | Accepting new patients | |
| Hamilton Center, Inc. | Past | Accepting new patients |
Locations
620 8th Ave
Terre Haute, IN 47804
Phone (812) 231-8200
500 8th Ave
Terre Haute, IN 47804
Phone (812) 231-8376
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.
-
- Community/Behavioral Health Agency
- Terre Haute, IN
- NPI 1205980901
-
- Methadone Clinic
- Vincennes, IN
- NPI 1265053854
-
- Community/Behavioral Health Agency
- Terre Haute, IN
- NPI 1649007774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581897600000",
"number": "1740289834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 8TH AVE",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478044072",
"telephone_number": "812-231-8376",
"fax_number": "812-231-8208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 8TH AVE",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478044072",
"telephone_number": "812-231-8376",
"fax_number": "812-231-8208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS-PITTMAN",
"first_name": "BRIDGET",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "HSPP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-20",
"last_updated": "2020-02-17",
"certification_date": "2020-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IN",
"license": "20042100A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRIDGET",
"last_name": "ROBERTS-PITTMAN",
"middle_name": "J",
"credential": "MFT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Terre Haute, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.