Paul Dave Whittaker, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

32398 Issued in TX

Practice address

4315 Golf Club Dr Apt 8213
Auburn, AL 36830-6081

Phone

(205) 317-9274

Fax

(806) 367-5530

NPI assigned

Aug 3, 2006

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

Enrolled in AL

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

Specialty

Clinical Psychologist

Education

Texas Tech University Health Science Center School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442
  NPD
• Mental Healtlh Outreach, PA

  • Mental Health Counselor
  • Fort Worth, TX
  • NPI 1861449910
  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1831107143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4315 GOLF CLUB DR APT 8213",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368306081",
            "telephone_number": "205-317-9274",
            "fax_number": "806-367-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4315 GOLF CLUB DR APT 8213",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368306081",
            "telephone_number": "205-317-9274",
            "fax_number": "806-367-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTAKER",
        "first_name": "PAUL",
        "middle_name": "DAVE",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "32398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Gaines White, RPH
• Elizabeth Garner White, DMD
• Ayesha Whitfield
• Lindsey T Whitlow, PH.D.
• Sarah Grace Whitt, PA
• Paityn B Whittington, M.S.
• Tiffany Adams Whittle, NP
• Joel Wiggins, ATC, LAT
• Sabrina Marie Wilder, PHARMD
• Scott David Wilder, DO

• Clinical Psychologist in Auburn, AL
• Providers in Auburn, AL by specialty
• Clinical Psychologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.

Verify at the official NPI Registry.