Individual provider Active NPI

Robert P Whitehouse, EDD

  • Psychologist
  • Boulder, CO
National Provider Identifier
1437376308
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1955 Issued in CO
Practice address
5485 Conestoga CT
Suite 100-D
Boulder, CO 80301-2752
Phone
(303) 417-0293
Fax
(303) 666-7160
NPI assigned
Apr 20, 2007
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1955 CO Primary

Addresses

Primary practice location

5485 Conestoga CT
Suite 100-D
Boulder, CO 80301-2752

Mailing address

190 Dahlia Dr
Louisville, CO 80027-2641
Phone (303) 417-0293

Other practice location 1

190 Dahlia Dr
Louisville, CO 80027-2641
Phone (303) 417-0293

Other identifiers 2

IdentifierTypeStateIssuer
148127800OtherCOOWCP FECA
07019557MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20040823000607 CO Practitioner - Clinical Psychologist 2567436900 Practice locations: Lafayette, CO; Louisville, CO; Denver, CO; Centennial, CO; Boulder, CO

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1400 28TH St
Suite 1
Boulder, CO 80303-1096
Phone (303) 417-0293

5485 Conestoga CT
Suite 100 D
Boulder, CO 80301-2752
Phone (303) 417-0293

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1955COMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1437376308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 DAHLIA DR",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800272641",
            "telephone_number": "303-417-0293",
            "fax_number": "303-666-7160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5485 CONESTOGA CT",
            "address_2": "SUITE 100-D",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012752",
            "telephone_number": "303-417-0293",
            "fax_number": "303-666-7160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "190 Dahlia Dr",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "CO",
            "postal_code": "800272641",
            "country_code": "US",
            "telephone_number": "303-417-0293",
            "fax_number": "303-666-7160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITEHOUSE",
        "first_name": "ROBERT",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "EDD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2026-09-29",
        "certification_date": "2023-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "1955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP FECA",
            "identifier": "148127800",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07019557",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.