Paulette D Pitt, PH.D., LPC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

34263 Issued in TX

Practice address

600 E Taylor St
Suite 4011
Sherman, TX 75090-2881

Phone

(903) 893-0298

Fax

(903) 892-6323

NPI assigned

Mar 9, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Paulette D Civick Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Diversified Consulting, Inc.

  • Clinical Psychologist
  • Sherman, TX
  • NPI 1528186673
  NPD (past)
• El Rio Psychological Services, P.C.

  • Clinical Psychologist
  • Sherman, TX
  • NPI 1427380377
  NPD (past)
• Lake Ridge Psychological Services, PC

  • Clinical Psychologist
  • Sherman, TX
  • NPI 1780906743
  NPD (past)

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337299200000",
    "number": "1851422786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E TAYLOR ST",
            "address_2": "SUITE 4011",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750902881",
            "telephone_number": "903-893-0298",
            "fax_number": "903-892-6323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E TAYLOR ST",
            "address_2": "SUITE 4011",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750902881",
            "telephone_number": "903-893-0298",
            "fax_number": "903-892-6323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITT",
        "first_name": "PAULETTE",
        "middle_name": "D",
        "credential": "PH.D., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2012-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "19902",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "34263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200279950A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180281104",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1802811-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAULETTE",
            "last_name": "CIVICK",
            "middle_name": "D",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• PHP Mission Care Centers - Sherman, LP
• Destre Wade Pickens, ATC
• Bobbye Rennae Pickert, AU. D.
• Julianne D Pierce, A.N.P.
• Pinnacle Community Living
• William Bradley Plauche, M.D.
• Gretchen S. Pletan
• Dori A Poe, RN,FNP
• Ruby Ponce
• Debra Leann Pontious, MA CCC-SLP

• Clinical Psychologist in Sherman, TX
• Providers in Sherman, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2012; 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.