Active NPI
Laura Whitmire, PH.D.
- Clinical Psychologist
- New York, NY
National Provider Identifier
1043225618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 14198
- Practice address
- 156 W 56TH St Ste 1804
New York, NY 10019 - Phone
- (212) 851-8100
- Fax
- (212) 537-0102
- NPI assigned
- Jul 30, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 14198 | NY | Primary |
Addresses
Primary practice location
156 W 56TH St Ste 1804
New York, NY 10019
Mailing address
70 Midland Blvd
Maplewood, NJ 07040-1808
Phone (973) 477-3794
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02077576 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14198 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528243200000",
"number": "1043225618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 MIDLAND BLVD",
"city": "MAPLEWOOD",
"state": "NJ",
"postal_code": "070401808",
"telephone_number": "973-477-3794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "156 W 56TH ST STE 1804",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10019",
"telephone_number": "212-851-8100",
"fax_number": "212-537-0102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITMIRE",
"first_name": "LAURA",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-30",
"last_updated": "2018-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "14198",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02077576",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.