Active NPI
Warren Edward Whitaker, M.S.ED.
- School Psychologist
- Phoenix, AZ
National Provider Identifier
1992948012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 4083117
- Practice address
- 6218 S 7TH St
Building a
Phoenix, AZ 85042-4211 - Phone
- (602) 243-4866
- Fax
- (602) 341-3132
- NPI assigned
- Apr 20, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 4083117 | AZ | Primary |
Addresses
Primary practice location
6218 S 7TH St
Building a
Phoenix, AZ 85042-4211
Mailing address
6218 S 7TH St
Building a
Phoenix, AZ 85042-4211
Phone (602) 243-4866
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4083117 | AZ | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240185600000",
"number": "1992948012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6218 S 7TH ST",
"address_2": "BUILDING A",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850424211",
"telephone_number": "602-243-4866",
"fax_number": "602-341-3132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6218 S 7TH ST",
"address_2": "BUILDING A",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850424211",
"telephone_number": "602-243-4866",
"fax_number": "602-341-3132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITAKER",
"first_name": "WARREN",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "M.S.ED.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-20",
"last_updated": "2009-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "AZ",
"license": "4083117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.