Whittington-Clark Associates LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

4131 Issued in OH

Legal business name

WHITTINGTON-CLARK ASSOCIATES LLC

Practice address

2525 W Bancroft St
Toledo, OH 43607-1311

Phone

(419) 578-2525

Fax

(419) 536-9220

NPI assigned

Oct 14, 2011

Organization subpart

No

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

Authorized official

Name

Linda E Whittington-Clark, PH DNPI 1801922026

Title

Owner

Phone

(419) 578-2525

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Tax ID family

Linda Whittington-Clark2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Linda Whittington-Clark

  • Community/Behavioral Health Agency
  • Toledo, OH
  • NPI 1386935633
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Linda E Whittington-Clark, PHD

  • Psychologist
  • Toledo, OH
  • NPI 1801922026
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1318550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337126400000",
    "number": "1518242148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 W BANCROFT ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436071311",
            "telephone_number": "419-578-2525",
            "fax_number": "419-536-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 W BANCROFT ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436071311",
            "telephone_number": "419-578-2525",
            "fax_number": "419-536-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITTINGTON-CLARK ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-14",
        "last_updated": "2012-05-16",
        "status": "A",
        "authorized_official_last_name": "WHITTINGTON-CLARK",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-578-2525",
        "authorized_official_credential": "PH D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "OH",
            "license": "4131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "WHCP05913",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0607794",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Garrett Lynn Whitney, ATC
• John Ethan Whitt, MD
• Amanda Joyce Whittaker, MD
• James Whittaker
• Glenn E Whitted, MD
• Linda E Whittington-Clark, PHD
• Emory G. Whittington III
• Shantoria Laquale Whittington
• Erin Douglas Whitton
• Whole-Hearted Healing, LLC

• Psychologist in Toledo, OH
• Providers in Toledo, OH by specialty
• Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.