Individual provider Active NPI

Gary Scott Whiting, PH.D.

  • Counseling Psychologist
  • San Antonio, TX
National Provider Identifier
1750446878
Registry record updated Oct 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
2-4700 Issued in TX
Practice address
8607 Wurzbach Rd
Suite V-104
San Antonio, TX 78240-1303
Phone
(210) 697-3300
Fax
(210) 424-0106
NPI assigned
Dec 27, 2006
Last updated
Oct 31, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 2-4700 TX Primary

Addresses

Primary practice location

8607 Wurzbach Rd
Suite V-104
San Antonio, TX 78240-1303

Mailing address

50 Old San Antonio Rd
Boerne, TX 78006-3412
Phone (830) 331-1267

Other identifiers 1

IdentifierTypeStateIssuer
0343279-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20101207001344 TX Practitioner - Clinical Psychologist 7810184546 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rehab Therapy Resources, Inc.Group PAC ID 1557558285, 7 clinicians

Practice addresses (Care Compare)

8607 Wurzbach Rd
Suite V104
San Antonio, TX 78240-1281
Phone (210) 697-3300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2-4700TXMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Therapy Resources, Inc. CurrentSince Aug 3, 2010 Accepting new patients

Locations

8607 Wurzbach Rd
Ste V104
San Antonio, TX 78240
Phone (210) 697-3300

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, 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": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320019200000",
    "number": "1750446878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 OLD SAN ANTONIO RD",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780063412",
            "telephone_number": "830-331-1267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8607 WURZBACH RD",
            "address_2": "SUITE V-104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401303",
            "telephone_number": "210-697-3300",
            "fax_number": "210-424-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITING",
        "first_name": "GARY",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2011-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "TX",
            "license": "2-4700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0343279-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.