Active NPI
Kevin Jackson Whitley, MD
- Psychiatry Physician
- Pittsburgh, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD451811
- Practice address
- 2575 Boyce Plaza Rd
Pittsburgh, PA 15241-3925 - Phone
- (412) 257-2290
- Fax
- (412) 206-0217
- NPI assigned
- Jun 7, 2007
- Last updated
- Jul 27, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD451811 | PA | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | MD451811 | PA |
Addresses
Primary practice location
2575 Boyce Plaza Rd
Pittsburgh, PA 15241-3925
Mailing address
1035 Murray Hill Ave
Pittsburgh, PA 15217-1039
Phone (205) 821-4230
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Alabama School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Century Dr
Worcester, MA 01606-1244
Phone (884) 319-0000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Pittsburgh Physicians | Psychiatry | Current | Accepting new patients |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| T Massachusetts, LLC | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| Western PA Behavioral Health Resources LLC | Psychiatry | Current | Accepting new patients |
Locations
100 Century Dr
Worcester, MA 01606
Phone (508) 762-5400
111 Roberts Rd
Ste 150
Grindstone, PA 15442
Phone (724) 785-4346
707 Ligonier St
Latrobe, PA 15650
Phone (724) 537-9515
3811 Ohara St
Pittsburgh, PA 15213
Phone (412) 624-2000
5301 Grove Rd
Ste M123
Pittsburgh, PA 15236
Phone (412) 677-9100
Organizations & group practices 5
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.
-
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- Child & Adolescent Psychiatry Physician
- Grindstone, PA
- NPI 1841432184
-
- Psychiatry Physician
- Pittsburgh, PA
- NPI 1215995402
-
- Diagnostic Radiology Physician
- Pittsburgh, PA
- NPI 1285692699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469577600000",
"number": "1790988780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1035 MURRAY HILL AVE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152171039",
"telephone_number": "205-821-4230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2575 BOYCE PLAZA RD",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152413925",
"telephone_number": "412-257-2290",
"fax_number": "412-206-0217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITLEY",
"first_name": "KEVIN",
"middle_name": "JACKSON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-07",
"last_updated": "2016-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD451811",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "PA",
"license": "MD451811",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.