Active NPI
Philip Richard Whatley, PHD
- Clinical Neuropsychologist
- Westerville, OH
National Provider Identifier
1104914027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 6222
- Practice address
- 597 Executive Campus Dr
Westerville, OH 43082-8870 - Phone
- (614) 356-0787
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- 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 Neuropsychologist | 103G00000X | 6222 | OH | Primary |
Addresses
Primary practice location
597 Executive Campus Dr
Westerville, OH 43082-8870
Mailing address
6008 Aberfeldy CT
Westerville, OH 43082-8344
Phone (614) 226-6154
Other names 1
- Dr. Rick Whatley
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
597 Executive Campus Dr
Westerville, OH 43082-8870
Phone (614) 356-0787
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6222 | OH | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbus Neuropsychological Associates LLC | Clinical Neuropsychologist | Current | Accepting new patients |
| Mount Carmel Health | Past | Accepting new patients |
Locations
1150 Colony Dr
Westerville, OH 43081
Phone (614) 839-0594
597 Executive Campus Dr
Westerville, OH 43082
Phone (614) 356-0787
Organizations & group practices 2
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.
-
- Clinical Neuropsychologist
- Westerville, OH
- NPI 1508143017
-
- Family Medicine Physician
- Westerville, OH
- NPI 1184646705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674172800000",
"number": "1104914027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6008 ABERFELDY CT",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430828344",
"telephone_number": "614-226-6154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "597 EXECUTIVE CAMPUS DR",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430828870",
"telephone_number": "614-356-0787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHATLEY",
"first_name": "PHILIP",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2023-01-20",
"certification_date": "2023-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "OH",
"license": "6222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RICK",
"last_name": "WHATLEY",
"prefix": "DR.",
"credential": "PHD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Westerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.