DR. PAUL MCCOLES WHITAKER PHD
NPI 1356339964
Psychologist in San Diego, CA

Active since October 07, 2005PECOS Enrolled
4420 HOTEL CIRCLE CT, SUITE 235, SAN DIEGO, CA 92108(619) 204-2382 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Paul Mccoles Whitaker Phd NPPES

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

DR. PAUL MCCOLES WHITAKER PHD (NPI 1356339964) is an individual psychologist in San Diego, California, licensed in California (PSY14205) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356339964
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. PAUL MCCOLES WHITAKERCredential: PHD
Location Address4420 HOTEL CIRCLE CT, SUITE 235San Diego, CA 92108-3411
Mailing Address3529 32nd StSan Diego, CA 92104-4302 · (619) 204-2382 · Fax (619) 692-0299
Sole ProprietorNo
Enumeration DateOctober 7, 2005
Last NPPES UpdateJuly 8, 2007
NPI 1356339964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY14205
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.
4420 HOTEL CIRCLE CT, San Diego, CA 92108

Other Identifiers 1

Medicare ID-Type UnspecifiedCP14205BCA

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Paul Mccoles Whitaker Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 8

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

Counselor (Mental Health)
4420 HOTEL CIRCLE CT, STE. #130
SAN DIEGO, CA 92108
Licensed Vocational Nurse
4420 HOTEL CIRCLE CT
SAN DIEGO, CA 92108
Marriage & Family Therapist
4420 HOTEL CIRCLE CT
SAN DIEGO, CA 92108
Counselor (Mental Health)
4420 HOTEL CIRCLE CT, SUITE 235
SAN DIEGO, CA 92108
Acupuncturist
4420 HOTEL CIRCLE CT, SUITE 210
SAN DIEGO, CA 92108
Counselor (Mental Health)
4420 HOTEL CIRCLE CT, SUITE 235
SAN DIEGO, CA 92108
Marriage & Family Therapist
4420 HOTEL CIRCLE CT, STE 235
S D, CA 92108
Durable Medical Equipment & Medical Supplies
4420 HOTEL CIRCLE CT, STE. 240
SAN DIEGO, CA 92108

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 Paul Whitaker's NPI number?

The NPI number for Paul Whitaker is 1356339964. It was assigned to this individual provider in the NPPES registry on October 7, 2005.

Where is Paul Whitaker located?

Paul Whitaker practices at 4420 Hotel Circle Ct Suite 235, San Diego, CA 92108. The listed phone number is (619) 204-2382.

What is Paul Whitaker's specialty?

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

Is Paul Whitaker enrolled in Medicare?

Yes. Paul Whitaker is registered in the Medicare PECOS enrollment system.

What insurance does Paul Whitaker accept?

Health plans from Providence Health Plan list Paul Whitaker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Paul Whitaker was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.