Individual provider Active NPI

William Lee Whiting, D.O.

  • Psychiatry Physician
  • Gulf Breeze, FL
National Provider Identifier
1710063722
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
OS13132 Issued in FL
Practice address
1101 Gulf Breeze Pkwy Unit 13
Gulf Breeze, FL 32561-4862
Phone
(850) 565-5074
Fax
(850) 565-5250
NPI assigned
Oct 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0102201929 VA
Psychiatry Physician 2084P0800X P8323 TX
Geriatric Psychiatry Physician 2084P0805X OS13132 FL
Psychiatry Physician 2084P0800X OS13132 FL Primary

Addresses

Primary practice location

1101 Gulf Breeze Pkwy Unit 13
Gulf Breeze, FL 32561-4862

Mailing address

6043 Valhalla Ave
Pensacola, FL 32507-4689
Phone (757) 641-4069

Other practice location 1

1221 W Lakeview Ave
Pensacola, FL 32501-1836
Phone (850) 469-3500

Other practice location 2

410 Pierce Street, Suite 103
JSA Health Telepsychiatry
Houston, TX 77002
Phone (757) 953-5269

Other practice location 3

6425 Pensacola Blvd Ste 1-3
Pensacola, FL 32505-1701
Phone (850) 471-0017

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)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
P8323TXMDPsychiatry Physician
0102201929VAMDPsychiatry Physician
OS13132FLMDGeriatric Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Therapy Services, Inc CurrentSince Jul 17, 2021 Accepting new patients

Locations

6425 Pensacola Blvd
#13
Pensacola, FL 32505
Phone (850) 471-0017

Interoperability endpoints

  • Direct secure messaging: william.whiting.1@24790.direct.athenahealth.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1710063722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6043 VALHALLA AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325074689",
            "telephone_number": "757-641-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 GULF BREEZE PKWY UNIT 13",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614862",
            "telephone_number": "850-565-5074",
            "fax_number": "850-565-5250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1221 W Lakeview Ave",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325011836",
            "country_code": "US",
            "telephone_number": "850-469-3500",
            "fax_number": "850-469-3424",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "410 Pierce Street, Suite 103",
            "address_2": "JSA Health Telepsychiatry",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "77002",
            "country_code": "US",
            "telephone_number": "757-953-5269",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6425 Pensacola Blvd Ste 1-3",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325051701",
            "country_code": "US",
            "telephone_number": "850-471-0017",
            "fax_number": "850-471-0009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITING",
        "first_name": "WILLIAM",
        "middle_name": "LEE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0102201929",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "P8323",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "FL",
            "license": "OS13132",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "OS13132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulf Breeze, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.