Individual provider Active NPI

Eve P Whitmore, PHD

  • Clinical Psychologist
  • Stow, OH
National Provider Identifier
1922065697
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4305 Issued in OH
Practice address
4833 Darrow Rd Ste 101
Stow, OH 44224-1411
Phone
(330) 650-5338
Fax
(330) 342-3837
NPI assigned
Apr 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2020

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 4305 OH Primary

Addresses

Primary practice location

4833 Darrow Rd Ste 101
Stow, OH 44224-1411

Mailing address

4833 Darrow Rd Ste 101
Stow, OH 44224-1411
Phone (330) 650-5338

Other practice location 1

7650 Chippewa Rd Ste 306
Brecksville, OH 44141-2319
Phone (440) 526-2208

Other names 1

  • Eve P Fisher Whitmore Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20110628000671 OH Practitioner - Clinical Psychologist 1759569445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Reserve Psychological Assoc IncGroup PAC ID 4587644489, 7 clinicians

Practice addresses (Care Compare)

4833 Darrow Rd
Suite 101
Stow, OH 44224-1411
Phone (330) 650-5338

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Western Reserve Psychological Assoc Inc CurrentSince May 1, 2011 Accepting new patients

Locations

7650 Chippewa Rd
Ste 306
Brecksville, OH 44141
Phone (440) 526-2208

4833 Darrow Rd
Ste 101
Stow, OH 44224
Phone (330) 650-5338

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.

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1922065697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4833 DARROW RD STE 101",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442241411",
            "telephone_number": "330-650-5338",
            "fax_number": "330-342-3837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4833 DARROW RD STE 101",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442241411",
            "telephone_number": "330-650-5338",
            "fax_number": "330-342-3837"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7650 Chippewa Rd Ste 306",
            "address_purpose": "LOCATION",
            "city": "Brecksville",
            "state": "OH",
            "postal_code": "441412319",
            "country_code": "US",
            "telephone_number": "440-526-2208",
            "fax_number": "330-342-3837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITMORE",
        "first_name": "EVE",
        "middle_name": "P",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "4305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EVE",
            "last_name": "FISHER WHITMORE",
            "middle_name": "P",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Stow, OH

Sources for this page

Verify at the official NPI Registry.