Individual provider Active NPI

Rebecca Landes Whitten, PSY.D.

  • Clinical Psychologist
  • Pennsville, NJ
National Provider Identifier
1902235039
Registry record updated Nov 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5111 Issued in NJ
Practice address
6 Humphreys Ave
Pennsville, NJ 08070-1116
Phone
(856) 678-6954
NPI assigned
Nov 8, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 5111 NJ Primary

Addresses

Primary practice location

6 Humphreys Ave
Pennsville, NJ 08070-1116

Mailing address

6 Humphreys Ave
Pennsville, NJ 08070-1116
Phone (856) 678-6954

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150430001284 NJ Practitioner - Clinical Psychologist 2668791344 Reassigns benefits to 1 organization
I20180827000559 PA Practitioner - Clinical Psychologist 2668791344 Practice locations: Narberth, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pennsville Counseling Associates, L.L.C.Group PAC ID 3971567355, 7 clinicians

Practice addresses (Care Compare)

545 Beckett Rd
Suite 207
Swedesboro, NJ 08085-1512
Phone (856) 467-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5111NJMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsville Counseling Associates, L.L.C. Clinical CurrentSince Apr 9, 2015 Accepting new patients
Meira Weingarten, PSYD, PLLC Clinical Past Accepting new patients

Locations

545 Beckett Rd
Ste 207
Swedesboro, NJ 08085
Phone (856) 467-1000

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1383868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383868800000",
    "number": "1902235039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 HUMPHREYS AVE",
            "city": "PENNSVILLE",
            "state": "NJ",
            "postal_code": "080701116",
            "telephone_number": "856-678-6954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 HUMPHREYS AVE",
            "city": "PENNSVILLE",
            "state": "NJ",
            "postal_code": "080701116",
            "telephone_number": "856-678-6954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTEN",
        "first_name": "REBECCA",
        "middle_name": "LANDES",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-08",
        "last_updated": "2013-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "5111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pennsville, NJ

Sources for this page

Verify at the official NPI Registry.