Paul B Whittemore, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY11060 Issued in CA

Practice address

4250 Park Newport Apt 406
Newport Beach, CA 92660-6052

Phone

(949) 290-3518

Fax

(949) 752-6463

NPI assigned

Nov 14, 2006

Last updated

Jan 28, 2023By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674864000000",
    "number": "1528130010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 PARK NEWPORT APT 406",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926606052",
            "telephone_number": "949-290-3518",
            "fax_number": "949-752-6463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 PARK NEWPORT APT 406",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926606052",
            "telephone_number": "949-290-3518",
            "fax_number": "949-752-6463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTEMORE",
        "first_name": "PAUL",
        "middle_name": "B",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2023-01-28",
        "certification_date": "2023-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY11060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1073887816",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen E. White, P.A.-C.
• Elizabeth Whitham, MD
• Brian Taylor Whitley
• Janet Lee Whitney, MFT
• Winston Whitney, M.D.
• Alexander James Whyte
• Ji Eun Wi
• Shaun Jameson Wiebe-Bailey, D.C.
• Tracy Rust Wiegand, D.C.
• Tracy Treybig Wiegand, PA

• Psychologist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.