MS. HEATHER T WHITTALL PSYD
NPI 1154637189
Psychologist in Boulder, CO

Active since August 27, 2010Opted out of Medicare · through Apr 1, 2027
1800 30TH ST STE 212, BOULDER, CO 80301(720) 591-4664 Get Directions Write a Review

NPPES record last updated: December 26, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 26, 2024, Sep 4, 2024, Oct 16, 2023 and 1 more (4 updates tracked since 2015).

About Ms. Heather T Whittall Psyd NPPES

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

MS. HEATHER T WHITTALL PSYD (NPI 1154637189) is an individual psychologist in Boulder, Colorado, licensed in Colorado (3829) and active in the NPI registry since August 2010. She has opted out of Medicare through April 1, 2027.

NPPES Registry Identity

NPI1154637189
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMS. HEATHER T WHITTALLCredential: PSYD
Location Address1800 30TH ST STE 212Boulder, CO 80301-1087
Mailing Address1800 30th St Ste 212Boulder, CO 80301-1087 · (720) 591-4664
Sole ProprietorNo
Enumeration DateAugust 27, 2010
Last NPPES UpdateDecember 26, 20244 updates tracked since enumeration
NPPES CertifiedDecember 26, 2024
NPI 1154637189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CO · 3829
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License 3829 (CO)
1800 30TH ST STE 212, Boulder, CO 80301

Other Identifiers 2

Medicaid79600573CO
Other022463CO · Kaiser Commercial Number

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Ms. Heather T Whittall Psyd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2025 through April 1, 2027.

Opt-Out Effective DateApril 1, 2025
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

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

Psychologist
1800 30TH ST STE 212
BOULDER, CO 80301
Psychologist (Clinical)
1800 30TH ST STE 212
BOULDER, CO 80301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heather Whittall's NPI number?

The NPI number for Heather Whittall is 1154637189. It was assigned to this individual provider in the NPPES registry on August 27, 2010.

Where is Heather Whittall located?

Heather Whittall practices at 1800 30th St Ste 212, Boulder, CO 80301. The listed phone number is (720) 591-4664.

What is Heather Whittall's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Heather Whittall enrolled in Medicare?

No. Heather Whittall has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Heather Whittall was last updated on December 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.