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DR. RICHARD PAUL WHALEN MD
NPI 1891863437
Psychiatry & Neurology - Psychiatry in Warwick, RI

Active since December 01, 2006PECOS Enrolled
50 HEALTH LANE, THE KENT CENTER FOR HUMAN & ORGANIZATIONAL DEVELOPMENT, WARWICK, RI 02886(401) 738-4300(401) 738-7718 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Richard Paul Whalen Md NPPES

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

DR. RICHARD PAUL WHALEN MD (NPI 1891863437) is an individual psychiatry provider in Warwick, Rhode Island, licensed in Rhode Island (MD9380) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891863437
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. RICHARD PAUL WHALENCredential: MD
Location Address50 HEALTH LANE, THE KENT CENTER FOR HUMAN & ORGANIZATIONAL DEVELOPMENTWarwick, RI 02886
Mailing Address54 Taylor DriveNorth Smithfield, RI 02896
Phone(401) 738-4300
Fax(401) 738-7718
Sole ProprietorNo
Enumeration DateDecember 1, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1891863437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in RI · MD9380
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
50 HEALTH LANE, Warwick, RI 02886
Open in Google Maps ↗

Other Identifiers 5

Other400987RI · Blue Chip
Medicare UPINE33601
Other1553662RI · Ubh
Other301369RI · Blue Cross
Medicaid7005743RI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Richard Paul Whalen Md 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Richard Whalen reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Thundermist Health Center
1.9 mi
Federally Qualified Health Center (FQHC)
186 PROVIDENCE ST
West Warwick, RI 02893
  • Reassigned Medicare billing, Rhode Island enrollment
  • 288 clinicians in this Medicare group
NPI 1376708560 (401) 615-2800
Gateway Healthcare Inc
13 mi
Mental Health (Including Community Mental Health Center)
101-103 BACON ST
Pawtucket, RI 02860
  • Reassigned Medicare billing, Rhode Island enrollment
  • 150 clinicians in this Medicare group
NPI 1821078932 (401) 722-3560
Newport County Community Mental Health Center, Inc
16 mi
Mental Health (Including Community Mental Health Center)
42 VALLEY RD
Middletown, RI 02842
  • Reassigned Medicare billing, Rhode Island enrollment
  • 58 clinicians in this Medicare group
NPI 1093713174 (401) 846-1213

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02886 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$177.03 typical visit price
range $58.57 – $177.03
Typical copayment $44.25 (range $14.64 – $44.25)
Most-billed visit code 99205
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MS. MARTHA L WINFIELD RN
Registered Nurse
50 HEALTH LANE
WARWICK, RI 02886
Kent County (401) 738-4300
VIRGINIA MULLEN RN
Registered Nurse (Case Management)
50 HEALTH LANE
WARWICK, RI 02886
Kent County (401) 738-4300

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 Richard Whalen's NPI number?

The NPI number for Richard Whalen is 1891863437. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Where is Richard Whalen located?

Richard Whalen practices at 50 Health Lane The Kent Center For Human & Organizational Development, Warwick, RI 02886. The listed phone number is (401) 738-4300.

What is Richard Whalen's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Richard Whalen enrolled in Medicare?

Yes. Richard Whalen is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Richard Whalen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Whalen reassigns Medicare benefits to 3 organizations: Thundermist Health Center (West Warwick, RI), Gateway Healthcare Inc (Pawtucket, RI) and Newport County Community Mental Health Center, Inc (Middletown, RI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Richard Whalen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Richard Whalen 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.