Thomas Liddell Whitfield Jr.

Primary specialty

Health PsychologistTaxonomy code 103TH0004X

License

W055530 Issued in FL

Practice address

304 E South St Unit 1029
Orlando, FL 32801-3516

Phone

(407) 758-1856

NPI assigned

Dec 23, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1640217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1679233175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 E SOUTH ST UNIT 1029",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328013516",
            "telephone_number": "407-758-1856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 E SOUTH ST UNIT 1029",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328013516",
            "telephone_number": "407-758-1856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITFIELD",
        "first_name": "THOMAS",
        "middle_name": "LIDDELL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-23",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "FL",
            "license": "W055530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Whitehead, PA-C
• Bryan Whitehurst, ATC, LAT, PES
• Angelica Whiteley, MA
• Janet D. Whiteside, PH.D.
• Dawn J Whitestone, M.A., L.M.H.C.
• Breane Whiting
• Jobyna Whiting, M.D.
• Reid Whiting, PT, DPT
• Lauren Elizabeth Whitley, PA-C
• Shaaraim Kishon Jennawe Whitley, APRN

• Health Psychologist in Orlando, FL
• Providers in Orlando, FL by specialty
• Health Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.

Verify at the official NPI Registry.