Organization Active NPI

K E Pitts MD PC

  • Psychiatry Physician
  • Brighton, MI
National Provider Identifier
1902086838
Registry record updated Nov 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
KP0200361 Issued in MI
Legal business name
K E PITTS MD PC
Practice address
4522 Oak Pointe Dr
Brighton, MI 48116-9184
Phone
(810) 229-0350
Fax
(810) 844-0567
NPI assigned
Nov 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2009

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

Authorized official

Name
Kenneth Pitts, M D
Title
President
Phone
(810) 229-0350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X KP0200361 MI Primary

Addresses

Primary practice location

4522 Oak Pointe Dr
Brighton, MI 48116-9184

Mailing address

4522 Oak Pointe Dr
Brighton, MI 48116-9184
Phone (810) 229-0350

Other identifiers 1

IdentifierTypeStateIssuer
KP020031OtherMISTATE LICENCES

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258588800000",
    "number": "1902086838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4522 OAK POINTE DR",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481169184",
            "telephone_number": "810-229-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4522 OAK POINTE DR",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481169184",
            "telephone_number": "810-229-0350",
            "fax_number": "810-844-0567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K E PITTS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2009-11-19",
        "status": "A",
        "authorized_official_last_name": "PITTS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-229-0350",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "KP0200361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCES",
            "identifier": "KP020031",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; 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.