Active NPI
Patrick George Wiita, M.D.
- Psychiatry Physician
- Hilton Head Island, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 82143
- Practice address
- 33 Office Park Rd Ste a-166
Hilton Head Island, SC 29928-4612 - Phone
- (843) 802-9030
- NPI assigned
- Apr 28, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 | 82143 | SC | Primary |
| Psychiatry Physician | 2084P0800X | A124938 | CA |
Addresses
Primary practice location
33 Office Park Rd Ste a-166
Hilton Head Island, SC 29928-4612
Mailing address
33 Office Park Rd Ste a-166
Hilton Head Island, SC 29928-4612
Phone (843) 802-9030
Other practice location 1
2121 W Temple St Bldg ABC
Los Angeles, CA 90026-4915
Phone (213) 260-7600
Other practice location 2
10850 Wilshire Blvd Ste 850
Los Angeles, CA 90024-4608
Phone (424) 280-2265
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A124938 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reunion Health, LLC | Current | Accepting new patients |
Locations
33 Office Park Rd
Ste A166
Hilton Head Island, SC 29928
Phone (843) 802-9030
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.
-
- Counselor
- Hilton Head Island, SC
- NPI 1396521761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586131200000",
"number": "1841558772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 OFFICE PARK RD STE A-166",
"city": "HILTON HEAD ISLAND",
"state": "SC",
"postal_code": "299284612",
"telephone_number": "843-802-9030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 OFFICE PARK RD STE A-166",
"city": "HILTON HEAD ISLAND",
"state": "SC",
"postal_code": "299284612",
"telephone_number": "843-802-9030"
}
],
"practiceLocations": [
{
"address_1": "2121 W Temple St Bldg ABC",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900264915",
"country_code": "US",
"telephone_number": "213-260-7600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10850 Wilshire Blvd Ste 850",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900244608",
"country_code": "US",
"telephone_number": "424-280-2265",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WIITA",
"first_name": "PATRICK",
"middle_name": "GEORGE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-28",
"last_updated": "2020-04-06",
"certification_date": "2020-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "SC",
"license": "82143",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A124938",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hilton Head Island, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.