DOROTHY C PETTIGREW PSYD PC
NPI 1285945766
Psychologist - Clinical in Houston, TX

Active since June 29, 2010
4615 SOUTHWEST FWY, 430, HOUSTON, TX 77027(713) 218-6855(713) 218-6983 Get Directions Write a Review

NPPES record last updated: December 12, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dorothy C Pettigrew Psyd Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOROTHY C PETTIGREW PSYD PC (NPI 1285945766) is a healthcare organization registered as a clinical in Houston, Texas and active in the NPI registry since June 2010. The organization lists Dorothy Carol Pettigrew, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1285945766
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameDOROTHY C PETTIGREW PSYD PC
Location Address4615 SOUTHWEST FWY, 430Houston, TX 77027-7108
Mailing AddressPo Box 310035Houston, TX 77231-0035 · (713) 218-6855 · Fax (713) 218-6983
Fax(713) 218-6983
Organization SubpartNo
Authorized OfficialDorothy Carol PettigrewClinical Psychologist · (713) 218-6855
Enumeration DateJune 29, 2010
Last NPPES UpdateDecember 12, 2025
NPPES CertifiedDecember 12, 2025
✔ NPI 1285945766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in TX · 22570
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
4615 SOUTHWEST FWY, Houston, TX 77027

Other Identifiers 1

Medicaid1000457-01TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dorothy C Pettigrew Psyd Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dorothy C Pettigrew Psyd PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1902915705
4615 SOUTHWEST FWY STE 430
Houston, TX 77027
(713) 218-6855
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dorothy C Pettigrew Psyd PC's NPI number?

The NPI number for Dorothy C Pettigrew Psyd PC is 1285945766. It was assigned to this organization in the NPPES registry on June 29, 2010.

Where is Dorothy C Pettigrew Psyd PC located?

Dorothy C Pettigrew Psyd PC is located at 4615 Southwest Fwy 430, Houston, TX 77027. The listed phone number is (713) 218-6855.

What is Dorothy C Pettigrew Psyd PC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Dorothy C Pettigrew Psyd PC enrolled in Medicare?

Yes. Dorothy C Pettigrew Psyd PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dorothy C Pettigrew Psyd PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Dorothy C Pettigrew Psyd PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dorothy C Pettigrew Psyd PC was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.