Michael Edward Whitten, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

129372 Issued in KY

Practice address

1028 Main St
Shelbyville, KY 40065-1315

Phone

(502) 647-2477

Fax

(502) 371-0890

NPI assigned

Jul 26, 2010

Last updated

Jan 3, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Clinical Psychologist

Education

University of Louisville School of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Whitten Psychological Services PLLCGroup PAC ID 7214169937, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Whitten Psychological Services, PLLC.

  • Psychologist
  • Shelbyville, KY
  • NPI 1871919977
  Medicare reassignment Care Compare group NPD
• Renewed Hope Counseling Center, PLLC

  • Clinical Psychologist
  • Frankfort, KY
  • NPI 1780865907
  NPD

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483401600000",
    "number": "1962715458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 MAIN ST",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400651315",
            "telephone_number": "502-647-2477",
            "fax_number": "502-371-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 MAIN ST",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400651315",
            "telephone_number": "502-647-2477",
            "fax_number": "502-371-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTEN",
        "first_name": "MICHAEL",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-26",
        "last_updated": "2017-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KY",
            "license": "129372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100283810",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olivia Leigh Whaley, DMD
• Dana Burton Wheeler
• Katherine Anne White
• Laura P White, M.D.
• Whitten Psychological Services, PLLC.
• Kristen Wilcox
• Marci Wilkinson, OTR/L
• Kellie Williams
• Megan Collette Williams, LPN
• Richele Williams, MD

• Psychologist in Shelbyville, KY
• Providers in Shelbyville, KY by specialty
• Psychologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.