RICHARD R WHITTLESEY PH.D. - NPI 1063400851 - Psychologist in Fort Collins, CO

Q: What is Richard Whittlesey's NPI number?

The NPI number for Richard Whittlesey is 1063400851. It was assigned to this individual provider in the NPPES registry on October 6, 2005.

Q: What is Richard Whittlesey's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

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About Richard R Whittlesey Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RICHARD R WHITTLESEY PH.D. (NPI 1063400851) is an individual clinical provider in Fort Collins, Colorado, licensed in Colorado (PSY.0003103) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1063400851

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameRICHARD R WHITTLESEYCredential: PH.D.

Location Address4601 CORBETT DRFort Collins, CO 80528-9579

Mailing Address4601 Corbett DrFort Collins, CO 80528-9579 · (970) 207-4800 · Fax (970) 207-4885

Phone(970) 207-4800

Fax(970) 207-4885

Sole ProprietorNo

Enumeration DateOctober 6, 2005

Last NPPES UpdateApril 13, 2016

✔ NPI 1063400851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in CO · PSY.0003103✔ Licensed in IA · 00194✔ Licensed in IA · 00072

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

4601 CORBETT DR, Fort Collins, CO 80528

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Other Identifiers 5

OtherIA01A1John Deere Health Plan

Medicare UPINR02829

Medicare PIN456496YQXKCO

Other42660IA · Wellmark Health Plan

Medicaid2008243IA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CRAIG MCFADDEN MA, LPC

Counselor (Professional)