Mary Amanda Amanda Pittman
Nurse Practitioner - Psych/Mental Health
Student Success Center Room 0222, Edwardsville
Illinois, 62026-1166
618-650-2842
Mary Amanda Amanda Pittman is a Edwardsville, Illinois based nurse practitioner who is specialized as Psych/Mental Health nurse. Active license number of Mary Amanda Amanda Pittman is 277002173 for Family in Illinois. Her current practice location is Student Success Center Room 0222, Edwardsville. Patients can reach her at 618-650-2842 or can fax her at 618-650-5839 with specialization in Psych/Mental Health and her NPI number (Unique professional ID assigned by NPPES) is 1609238518.
Mary Amanda Amanda Pittman provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Mary Amanda Amanda Pittman speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mary Amanda Amanda Pittman |
| Specialization: | Psych/Mental Health Nurse Practitioner (PMHNP) |
| Gender: | Female |
| Practice Address: | Student Success Center Room 0222, Edwardsville,
Illinois, 62026-1166 |
| Phone: | 618-650-2842 |
| Fax: | 618-650-5839 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1609238518 |
| NPI Enumeration Date: | 22 Mar, 2016 |
| NPI Last Update On: | 23 Oct, 2023 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mary Amanda Amanda Pittman are as mentioned below.
| License Number | Specialization | State | Status | |
| 277002173 | Family | Illinois | Primary | |
| 277002173 | Psych/Mental Health | Illinois | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mary Amanda Amanda Pittman such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 277002173 | Other | Illinois | IDFPR |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mary Amanda Amanda Pittman
7503 S Ridge Ct,
Maryville, Illinois |
| Zip: | 62062-6442 |
| Phone Number: | 618-841-8767 |
Patients can reach Mary Amanda Amanda Pittman at
Student Success Center Room 0222, Edwardsville, Illinois or can
call to book an appointment on 618-650-2842.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.