Individual provider Active NPI

Philip Richard Whatley, PHD

  • Clinical Neuropsychologist
  • Westerville, OH
National Provider Identifier
1104914027
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
6222 Issued in OH
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

Updated by the provider on Jan 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061024000320 OH Practitioner - Clinical Psychologist 0345210464 Reassigns benefits to 1 organization

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
Columbus Neuropsychological Associates LLCGroup PAC ID 5294994265, 2 clinicians

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

LicenseStateTypeSpecialty
6222OHMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Neuropsychological Associates LLC Clinical Neuropsychologist CurrentSince Jan 1, 2020 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.

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

Verify at the official NPI Registry.