NPIMap

Organization Active NPI

Pittenger Family Psychology LLC

  • Clinical Psychologist
  • West Chester, OH
National Provider Identifier
1770049926
Registry record updated Feb 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
PITTENGER FAMILY PSYCHOLOGY LLC
Doing business as
Pittenger Family Psychology LLC
Practice address
7799 Joan Dr
West Chester, OH 45069-3682
Phone
(513) 204-5746
NPI assigned
Feb 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2019

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

Authorized official

Name
Alexis Pittenger, PSYDNPI 1992140883
Title
Sole Member
Phone
(513) 498-3865

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

7799 Joan Dr
West Chester, OH 45069-3682

Mailing address

7799 Joan Dr
West Chester, OH 45069-3682

Other identifiers 2

IdentifierTypeStateIssuer
13624683OtherCAQH NUMBER
7353OtherOHOH PSYCHOLOGY LICENSE

Other names 1

  • Pittenger Family Psychology LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550016000000",
    "number": "1770049926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7799 JOAN DR",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450693682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7799 JOAN DR",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450693682",
            "telephone_number": "513-204-5746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PITTENGER FAMILY PSYCHOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-13",
        "last_updated": "2019-02-13",
        "status": "A",
        "authorized_official_last_name": "PITTENGER",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "513-498-3865",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH NUMBER",
            "identifier": "13624683",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OH PSYCHOLOGY LICENSE",
            "identifier": "7353",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pittenger Family Psychology LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Chester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.

Verify at the official NPI Registry.