Active NPI
Aaron Thomas Scott Whitney, PH.D.
- Clinical Psychologist
- Dubuque, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 110366
- Practice address
- 200 Mercy Dr Ste 201
Dubuque, IA 52001-7300 - Phone
- (563) 584-3500
- Fax
- (563) 584-3520
- NPI assigned
- May 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2568-057 | WI | |
| Clinical Psychologist | 103TC0700X | 110366 | IA | Primary |
Addresses
Primary practice location
200 Mercy Dr Ste 201
Dubuque, IA 52001-7300
Mailing address
200 Mercy Dr Ste 201
Dubuque, IA 52001-7300
Phone (563) 584-3500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39757000 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
200 Mercy Dr
Suite 201
Dubuque, IA 52001-7300
Phone (563) 584-3500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110366 | IA | MD | Clinical Psychologist |
| 2568-057 | WI | MD | Clinical Psychologist |
| 1077 | KS | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Platteville Family Resource Center Inc | Current | Accepting new patients | |
| Medical Associates Clinic P C | Current | Accepting new patients | |
| Platteville Family Resource Center | Past | Accepting new patients |
Locations
1000 Langworthy St
Dubuque, IA 52001
Phone (563) 584-3455
1500 Associates Dr
Dubuque, IA 52002
Phone (563) 584-4100
200 Mercy Dr
Ste 201
Dubuque, IA 52001
Phone (563) 584-3500
1250 E Business Highway 151
Ste D
Platteville, WI 53818
Phone (608) 470-2200
Interoperability endpoints
- awhitney4030850@direct.trinity-health.org
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Dubuque, IA
- NPI 1457300790
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Platteville, WI
- NPI 1477661692
-
- Mental Illness Community Based Residential Treatment Facility
- Platteville, WI
- NPI 1104207497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673913600000",
"number": "1003865569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MERCY DR STE 201",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520017300",
"telephone_number": "563-584-3500",
"fax_number": "563-584-3520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MERCY DR STE 201",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520017300",
"telephone_number": "563-584-3500",
"fax_number": "563-584-3520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITNEY",
"first_name": "AARON",
"middle_name": "THOMAS SCOTT",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2023-01-17",
"certification_date": "2023-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WI",
"license": "2568-057",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IA",
"license": "110366",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39757000",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dubuque, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.