Robert Lee Whitaker, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

P1967 Issued in TN

Practice address

8870 Cedar Springs LN # 209
Knoxville, TN 37923-5407

Phone

(865) 690-0510

Fax

(865) 690-0720

NPI assigned

Dec 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Davidrandalsealemdpllc

  • Psychiatry Physician
  • Knoxville, TN
  • NPI 1902239064
  NPD (past)
• Psychiatric Associates PLLC

  • Psychiatry Physician
  • Knoxville, TN
  • NPI 1518124437
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437217098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 SCENIC VALLEY LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379227133",
            "telephone_number": "865-384-7009",
            "fax_number": "865-690-0720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8870 CEDAR SPRINGS LN # 209",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379235407",
            "telephone_number": "865-690-0510",
            "fax_number": "865-690-0720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITAKER",
        "first_name": "ROBERT",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "P1967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David P Whitaker, MSPT
• Frances Whitaker, BSW
• Joseph Coble Whitaker II
• Laura Whitaker
• Robert Alexander Whitaker
• Sheena L Whitaker, FNP-BC
• Skylar Whitaker
• White Spirit Lodge Inc.
• Amy L White, NURSE PRACTITIONER
• Anderson White, MD

• Clinical Psychologist in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Clinical Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.