Active NPI
Norman I Itkowitz, PSY.D.
- Clinical Psychologist
- Memphis, TN
National Provider Identifier
1760599799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1004
- Practice address
- 5685 Vantage PT
Memphis, TN 38120 - Phone
- (901) 517-5460
- NPI assigned
- Aug 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 1004 | LA | Primary |
Addresses
Primary practice location
5685 Vantage PT
Memphis, TN 38120
Mailing address
5685 Vantage PT
Memphis, TN 38120-2539
Phone (901) 517-5460
Other practice location 1
1030 Jefferson Ave
Memphis, TN 38104-2127
Phone (901) 523-9000
Other practice location 2
1030 Jefferson Ave
Memphis, TN 38104-2127
Phone (901) 523-9000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547683200000",
"number": "1760599799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5685 VANTAGE PT",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381202539",
"telephone_number": "901-517-5460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5685 VANTAGE PT",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38120",
"telephone_number": "901-517-5460"
}
],
"practiceLocations": [
{
"address_1": "1030 Jefferson Ave",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381042127",
"country_code": "US",
"telephone_number": "901-523-9000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1030 Jefferson Ave",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381042127",
"country_code": "US",
"telephone_number": "901-523-9000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ITKOWITZ",
"first_name": "NORMAN",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2019-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "LA",
"license": "1004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.