PHILLIP WHITELY CDCA, PRS
NPI 1316414089
Peer Specialist in Portsmouth, OH

Active since October 31, 2018
411 2ND ST, PORTSMOUTH, OH 45662(740) 354-7545 Get Directions Write a Review

NPPES record last updated: February 3, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Feb 3, 2021, Jan 20, 2021, Oct 31, 2018 (3 updates tracked since 2018).

About Phillip Whitely Cdca, Prs NPPES

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

PHILLIP WHITELY CDCA, PRS (NPI 1316414089) is an individual peer specialist in Portsmouth, Ohio, licensed in Ohio (0001602) and active in the NPI registry since October 2018. He maintains a secondary practice location in Portsmouth.

NPPES Registry Identity

NPI1316414089
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NamePHILLIP WHITELYCredential: CDCA, PRS
Location Address411 2ND STPortsmouth, OH 45662-3806
Mailing Address433 3rd StPortsmouth, OH 45662-3811 · (740) 716-8746
Sole ProprietorYes
Enumeration DateOctober 31, 2018
Last NPPES UpdateFebruary 3, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2021
NPI 1316414089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License Licensed in OH · 0001602
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
411 2ND ST, Portsmouth, OH 45662

Secondary Practice Location 1

Location 1433 3rd StPortsmouth, OH 45662-3811 · Phone (740) 354-7545 ext. 354

Other Providers at the Same Location NPPES 4

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

Licensed Practical Nurse
411 2ND ST
PORTSMOUTH, OH 45662
Nurse Practitioner (Obstetrics & Gynecology)
411 2ND ST
PORTSMOUTH, OH 45662
Case Manager/Care Coordinator
411 2ND ST
PORTSMOUTH, OH 45662
Registered Nurse
411 2ND ST
PORTSMOUTH, OH 45662

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 Phillip Whitely's NPI number?

The NPI number for Phillip Whitely is 1316414089. It was assigned to this individual provider in the NPPES registry on October 31, 2018.

Where is Phillip Whitely located?

Phillip Whitely practices at 411 2nd St, Portsmouth, OH 45662. The listed phone number is (740) 354-7545.

What is Phillip Whitely's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Phillip Whitely was last updated on February 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.