Agnes H Whitaker MD PC

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

137109-1 Issued in NY

Legal business name

AGNES H WHITAKER MD PC

Practice address

15 W 72ND St
Suite 1P
New York, NY 10023-3402

Phone

(646) 692-8297

Fax

(646) 692-8302

NPI assigned

Oct 1, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Agnes H. Whitaker, MDNPI 1033247770

Title

Psychiatrist

Phone

(646) 692-8297

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Agnes H. Whitaker, M.D.

  • Child & Adolescent Psychiatry Physician
  • New York, NY
  • NPI 1033247770
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412121600000",
    "number": "1861895070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 W 72ND ST",
            "address_2": "SUITE 1P",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100233402",
            "telephone_number": "646-692-8297",
            "fax_number": "646-692-8302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 W 72ND ST",
            "address_2": "SUITE 1P",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100233402",
            "telephone_number": "646-692-8297",
            "fax_number": "646-692-8302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGNES H WHITAKER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-01",
        "last_updated": "2014-10-01",
        "status": "A",
        "authorized_official_last_name": "WHITAKER",
        "authorized_official_first_name": "AGNES",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "646-692-8297",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "137109-1",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "137109-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corinne Agman, FNP
• Joanne Agnant, M.D.
• Regine Agnant
• Aaron Agne, LCSW
• Keri Lynn Agnello, MS ED.
• Tracey Agnese, M.D.
• Anstiss Agnew, LCSW-R
• Courtney Agnew, NP
• Jennifer Lynn Agnew, M.D.
• Marie C Agniel

• Child & Adolescent Psychiatry Physician in New York, NY
• Providers in New York, NY by specialty
• Child & Adolescent Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.