DR. CLINTON GARY PETTIGREW PHD
NPI 1760443253
Psychologist in Baton Rouge, LA

Active since April 01, 2006PECOS EnrolledAccepts Medicare Assignment
7510 HIGHLAND ROAD, BATON ROUGE, LA 70808(225) 766-2822(225) 766-2823 Get Directions Write a Review

NPPES record last updated: March 12, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Clinton Gary Pettigrew Phd NPPES

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

DR. CLINTON GARY PETTIGREW PHD (NPI 1760443253) is an individual psychologist in Baton Rouge, Louisiana, licensed in Louisiana (322) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Louisiana State University School Of Medicine In New Orleans (1977).

NPPES Registry Identity

NPI1760443253
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. CLINTON GARY PETTIGREWCredential: PHD
Location Address7510 HIGHLAND ROADBaton Rouge, LA 70808-6726
Mailing Address7510 Highland RoadBaton Rouge, LA 70808-6726 · (225) 766-2822 · Fax (225) 766-2823
Fax(225) 766-2823
Sole ProprietorYes
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1977
Enumeration DateApril 1, 2006
Last NPPES UpdateMarch 12, 2015
NPI 1760443253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in LA · 322
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
7510 HIGHLAND ROAD, Baton Rouge, LA 70808

Other Identifiers 1

Medicare PIN3B049LA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Clinton Gary Pettigrew Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103976741
PECOS Enrollment IDI20090602000653
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Clinton Pettigrew's NPI number?

The NPI number for Clinton Pettigrew is 1760443253. It was assigned to this individual provider in the NPPES registry on April 1, 2006.

Where is Clinton Pettigrew located?

Clinton Pettigrew practices at 7510 Highland Road, Baton Rouge, LA 70808. The listed phone number is (225) 766-2822.

What is Clinton Pettigrew's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Clinton Pettigrew enrolled in Medicare?

Yes. Clinton Pettigrew is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Clinton Pettigrew accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Clinton Pettigrew as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Clinton Pettigrew was last updated on March 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.