Active NPI
Jamie Annette Whalen, PSY.D
- Clinical Psychologist
- Gilbert, AZ
National Provider Identifier
1457669798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 4316
- Practice address
- 3651 E Baseline Rd Ste E-204
Gilbert, AZ 85234-2689 - Phone
- (480) 272-4740
- Fax
- (480) 633-7788
- NPI assigned
- Sep 21, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | PSB-35421 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Psychologist | 103TC0700X | 4316 | AZ | Primary |
Addresses
Primary practice location
3651 E Baseline Rd Ste E-204
Gilbert, AZ 85234-2689
Mailing address
3651 E Baseline Rd Ste E-204
Gilbert, AZ 85234-2689
Phone (480) 272-4740
Other names 1
- Jamie Annette D'Orazio
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSB-35421 | CA | MD | Clinical Child & Adolescent Psychologist |
| 4316 | AZ | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346112000000",
"number": "1457669798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3651 E BASELINE RD STE E-204",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852342689",
"telephone_number": "480-272-4740",
"fax_number": "480-633-7788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3651 E BASELINE RD STE E-204",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852342689",
"telephone_number": "480-272-4740",
"fax_number": "480-633-7788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHALEN",
"first_name": "JAMIE",
"middle_name": "ANNETTE",
"credential": "PSY.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-21",
"last_updated": "2012-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "CA",
"license": "PSB-35421",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AZ",
"license": "4316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAMIE",
"last_name": "D'ORAZIO",
"middle_name": "ANNETTE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.