Individual provider Active NPI

Bridget J Roberts-Pittman, HSPP

  • Clinical Psychologist
  • Terre Haute, IN
National Provider Identifier
1740289834
Registry record updated Feb 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
20042100A Issued in IN
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

Updated by the provider on Feb 17, 2020

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 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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070406000193 IN Practitioner - Clinical Psychologist 9436253101 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20042100AINMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Center, Inc. CurrentSince Mar 6, 2019 Accepting new patients
Hamilton Center Inc. CurrentSince Mar 6, 2019 Accepting new patients
Hamilton Center, Inc. PastSince Feb 23, 2020 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.

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

Verify at the official NPI Registry.