Joseph Whitwell, MA

Primary specialty

PsychoanalystTaxonomy code 102L00000X

License

LAC-15674 Issued in AZ

Practice address

17505 N 79TH Ave
Suite 213
Glendale, AZ 85308-8725

Phone

(623) 800-7980

NPI assigned

Aug 3, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470182400000",
    "number": "1285187567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5152 W WIKIEUP LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085060",
            "telephone_number": "907-242-5018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17505 N 79TH AVE",
            "address_2": "SUITE 213",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088725",
            "telephone_number": "623-800-7980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITWELL",
        "first_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-03",
        "last_updated": "2016-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LAC-15674",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LAC-15674",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC-15674",
            "primary": false
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "AZ",
            "license": "LAC-15674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Kay Whitlock, APRN
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• Randi Whittington
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• Lehni Wickes, PHARM.D.
• Timothy Widener, M.D.
• Jonathan Wieland, NP

• Psychoanalyst in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Psychoanalyst in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; 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.