Active NPI
Josephine Whalen, PSYD
- Clinical Psychologist
- Boca Raton, FL
National Provider Identifier
1861764136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY8404
- Practice address
- 9325 Glades Rd
Suite 208
Boca Raton, FL 33434-3988 - Phone
- (561) 400-9312
- Fax
- (561) 482-2690
- NPI assigned
- Feb 2, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY8404 | FL | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | PY8404 | FL |
Addresses
Primary practice location
9325 Glades Rd
Suite 208
Boca Raton, FL 33434-3988
Mailing address
8087 NW 128TH LN
Parkland, FL 33076-4902
Phone (561) 400-9312
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 3, 2025 through Jan 3, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY8404 | FL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328140800000",
"number": "1861764136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8087 NW 128TH LN",
"city": "PARKLAND",
"state": "FL",
"postal_code": "330764902",
"telephone_number": "561-400-9312",
"fax_number": "561-482-2690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9325 GLADES RD",
"address_2": "SUITE 208",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334343988",
"telephone_number": "561-400-9312",
"fax_number": "561-482-2690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHALEN",
"first_name": "JOSEPHINE",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-02",
"last_updated": "2012-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY8404",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "FL",
"license": "PY8404",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.