Active NPI
Whitney Stubbs, PH.D.
- Psychologist
- Mendenhall, MS
National Provider Identifier
1609417096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 601066
- Practice address
- 611 Main St N
Mendenhall, MS 39114-3322 - Phone
- (601) 382-2783
- NPI assigned
- Oct 7, 2019
- Last updated
- Apr 28, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY.0005119 | CO | |
| Psychologist | 103T00000X | 601066 | MS | Primary |
Addresses
Primary practice location
611 Main St N
Mendenhall, MS 39114-3322
Mailing address
611 Main St N
Mendenhall, MS 39114-3322
Phone (601) 382-2783
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY.0005119 | CO | MD | Psychologist |
| 601066 | MS | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619568000000",
"number": "1609417096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 MAIN ST N",
"city": "MENDENHALL",
"state": "MS",
"postal_code": "391143322",
"telephone_number": "601-382-2783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 MAIN ST N",
"city": "MENDENHALL",
"state": "MS",
"postal_code": "391143322",
"telephone_number": "601-382-2783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUBBS",
"first_name": "WHITNEY",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-07",
"last_updated": "2021-04-28",
"certification_date": "2021-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CO",
"license": "PSY.0005119",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MS",
"license": "601066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mendenhall, MS
- Simpson Community Healthcare, Inc. (Simpson Community Healthcare, Inc. Radiology)
- Simpson Dental Group PLLC
- Harpal Singh, M.D.
- Kimberly Blair Smith, DMD
- Daniel Gregory Stevens, D.O.
- Sweet Magnolia Staffing (Sweet Magnolia Staffing Solutions)
- Tajuana Thicklen
- Adrian Turner
- Jo Anna Vinson
- Theresa Walker
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.