Individual provider Active NPI

Whitney L Dartnell

  • Psychologist
  • Kingston, PA
National Provider Identifier
1518694496
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS020057 Issued in PA
Practice address
190 Welles Street
Kingston, PA 18704-4968
Phone
(570) 718-4140
Fax
(570) 718-4141
NPI assigned
Aug 2, 2022
Last updated
Dec 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS020057 PA Primary

Addresses

Primary practice location

190 Welles Street
Kingston, PA 18704-4968

Mailing address

410 Mountain Lake Rd
Great Meadows, NJ 07838-2349
Phone (973) 606-8176

Other practice location 1

410 Mountain Lake Rd
Great Meadows, NJ 07838-2349
Phone (973) 606-8176

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240125002581 PA Practitioner - Clinical Psychologist 4688027659 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS020057PAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic Current Accepting new patients
Geisinger Clinic Psychologist CurrentSince Jan 15, 2024 Accepting new patients
Geisinger Clinic CurrentSince Jan 15, 2024 Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

190 Welles St
Ste 122
Kingston, PA 18704
Phone (570) 718-4140

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1518694496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 MOUNTAIN LAKE RD",
            "city": "GREAT MEADOWS",
            "state": "NJ",
            "postal_code": "078382349",
            "telephone_number": "973-606-8176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 WELLES STREET",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187044968",
            "telephone_number": "570-718-4140",
            "fax_number": "570-718-4141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 Mountain Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Great Meadows",
            "state": "NJ",
            "postal_code": "078382349",
            "country_code": "US",
            "telephone_number": "973-606-8176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DARTNELL",
        "first_name": "WHITNEY",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-02",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS020057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, PA

Sources for this page

Verify at the official NPI Registry.