Individual provider Active NPI

Darren Lee Whaley, PSY.D.

  • Clinical Psychologist
  • Wilmington, DE
National Provider Identifier
1023352044
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
B1-0000915 Issued in DE
Practice address
1521 Concord Pike Ste 103
Wilmington, DE 19803-3614
Phone
(302) 428-0205
Fax
(302) 428-1123
NPI assigned
Nov 15, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X B1-0000915 DE
Clinical Psychologist 103TC0700X B1-0000915 DE Primary
Clinical Child & Adolescent Psychologist 103TC2200X B1-0000915 DE

Addresses

Primary practice location

1521 Concord Pike Ste 103
Wilmington, DE 19803-3614

Mailing address

1521 Concord Pike Ste 103
Wilmington, DE 19803-3614
Phone (302) 428-0205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140110000631 PA Practitioner - Clinical Psychologist 8729216148 Reassigns benefits to 2 organizations
I20140430000080 DE Practitioner - Clinical Psychologist 8729216148 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Supportive Care of Pennsylvania LLCGroup PAC ID 0143521211, 91 clinicians

Practice addresses (Care Compare)

2109 Red Lion Rd
Philadelphia, PA 19115-1711
Phone (718) 298-4375

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
76.62
Improvement activities
40
Cost
78.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
B1-0000915DEMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Care LLC Clinical CurrentSince Mar 1, 2014 Accepting new patients
Vista Medical Services, Inc. CurrentSince Oct 15, 2021 Accepting new patients
Supportive Care of Pennsylvania LLC Clinical CurrentSince Dec 1, 2015 Accepting new patients
Associates in Health Psychology LLC PastSince Jul 1, 1996 Accepting new patients

Locations

231 S Washington St
Millsboro, DE 19966
Phone (302) 645-4664

3034 S DuPont Blvd
Smyrna, DE 19977
Phone (302) 376-6761

5651 Limestone Rd
Wilmington, DE 19808
Phone (302) 239-8583

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

160 Rock Hill Rd
Bala Cynwyd, PA 19004
Phone (610) 667-6080

160 Rock Hill Rd
Fl 1
Bala Cynwyd, PA 19004
Phone (610) 667-5460

2109 Red Lion Rd
Philadelphia, PA 19115
Phone (215) 213-7000

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1023352044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 CONCORD PIKE STE 103",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198033614",
            "telephone_number": "302-428-0205",
            "fax_number": "302-428-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 CONCORD PIKE STE 103",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198033614",
            "telephone_number": "302-428-0205",
            "fax_number": "302-428-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHALEY",
        "first_name": "DARREN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "DE",
            "license": "B1-0000915",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "DE",
            "license": "B1-0000915",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "DE",
            "license": "B1-0000915",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.