Whidbey Island Public Hospital District

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICT

Practice address

95 Lorimer Ave
Providence, RI 02906-4911

Phone

(360) 678-5151

Fax

(360) 678-7676

NPI assigned

Feb 21, 2017

Organization subpart

Yes

Parent organization

WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICTAs reported in NPPES

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

Authorized official

Name

Garth A Miller

Title

Coo

Phone

(360) 678-7656

Specialties & licenses 1

Addresses

Other names 1

• WhidbeyHealth Telehealth Other name

Part of

North Whidbey Comm Clin

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Whidbey Island Public Hospital District

  • Community Based Hospice Care Agency
  • Coupeville, WA
  • NPI 1972776581

  Member Of

  NPD member

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew J Niedzwiecki, MD

  • Psychiatry Physician
  • Loma Linda, CA
  • NPI 1174859284
  NPD (past)

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1023557188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3603",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981243603",
            "telephone_number": "360-914-3110",
            "fax_number": "360-678-3858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 LORIMER AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029064911",
            "telephone_number": "360-678-5151",
            "fax_number": "360-678-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICT",
        "enumeration_date": "2017-02-21",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "GARTH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "360-678-7656"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WhidbeyHealth Telehealth",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "WhidbeyHealth Telehealth",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Julia Grace Wheeler
• Thomas H. Wheeler, MMSC, PT
• Cordelia E Wheelock, LMHC
• Cathleen Ann Whelan, MD
• Kathleen Elizabeth Whelan, MA.
• Anne Willis Whitaker, MD
• Andrew White, LICSW
• Briana Lee White
• Debra Ann White, M.D.
• Emily Caitlin White, MD

• Psychiatry Physician in Providence, RI
• Providers in Providence, RI by specialty
• Psychiatry Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.