RICHARD R WHITTLESEY (NPI# 1063400851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063400851 |
| Entity Type | Individual |
| Full Name | RICHARD R WHITTLESEY |
| Credential | PH.D. |
| Practice Address |
4601 Corbett Dr Fort Collins CO 80528-9579 |
| Practice Telephone | 9702074800 |
| Practice Fax Number | 9702074885 |
| Mailing Telephone | 9702074800 |
| Mailing Fax Number | 9702074885 |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2016-04-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY.0003103 | CO | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
00072 | IA | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
00194 | IA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | WELLMARK HEALTH PLAN | 42660 | 01 |
| JOHN DEERE HEALTH PLAN | IA01A1 | 01 | |
| IA | 2008243 | 05 |
| Street Address |
4601 CORBETT DR |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80528-9579 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114543493 | Dylan Brown | Registered Nurse | 4601 Corbett Dr, Fort Collins, CO 80528-9579 | 2020-06-22 |
| 1952872921 | Jonathan F Heilman | Registered Nurse | 4601 Corbett Dr, Fort Collins, CO 80528-9579 | 2018-12-16 |
| 1376042457 | Corie Helms | Counselor | 4601 Corbett Dr, Fort Collins, CO 80528-9579 | 2018-02-05 |
| 1891234860 | Lorenza Perez Frias | Registered Nurse | 4601 Corbett Dr, Fort Collins, CO 80528-9579 | 2017-02-23 |
| 1992177596 | Mountain Crest Behavioral Health Hospital | Psychiatric Hospital | 4601 Corbett Dr, Fort Collins, CO 80528-9579 | 2015-10-22 |
| 1215332762 | Poudre Valley Health Care Inc. | Psychiatric Unit | 4601 Corbett Dr, Fort Collins, CO 80528-9579 | 2014-10-27 |
| 1881093607 | Michelle Miranda | Nurse Practitioner | 4601 Corbett Dr, Fort Collins, CO 80528-9579 | 2014-08-18 |
| 1336486760 | Elizabeth Sutphin | Counselor | 4601 Corbett Dr, Fort Collins, CO 80528-9579 | 2013-01-04 |
| 1043526072 | Laurie Verde | Registered Nurse | 4601 Corbett Dr, Fort Collins, CO 80528-9579 | 2010-08-27 |
| 1760711857 | Jennifer Hall | Counselor | 4601 Corbett Dr, Fort Collins, CO 80528-9579 | 2009-12-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518475391 | Corinna Kromer | Specialist | 4818 Snowdrift Circle, Fort Collins, CO 80528 | 2018-01-16 |
| 1447793419 | Suites Fort Collins LLC | Skilled Nursing Facility | 4880 Ziegler Rd, Fort Collins, CO 80528 | 2016-11-23 |
| 1790231413 | Pineridge Healthcare, Inc. | Skilled Nursing Facility | 4880 Ziegler Road, Fort Collins, CO 80528 | 2016-09-01 |
| 1750647244 | Annika Svea Kamberelis | Physician Assistant | 2121 E Harmony Rd Unit 300, Fort Collins, CO 80528 | 2012-04-09 |
| 1831481944 | Natasha E. Walter-fisk | Counselor | 5225 White Willow Dr. M220, Fort Collins, CO 80528 | 2011-05-07 |
| 1629216627 | Augusto Miravalle | Psychiatry & Neurology | 2121 E. Harmony Road, Suite 180, Ft Collins, CO 80528 | 2009-01-29 |
| 1114100252 | Alicia R. Young | Psychologist | 8010 S Country Road 5, Suite 201, Windsor, CO 80528 | 2007-12-12 |
| 1346446903 | Jill Marie Olson | Psychiatry & Neurology | 2121 E. Harmony Road #180, Fort Collins, CO 80528 | 2007-06-21 |
| 1437368578 | Shelley M Oliver | Orthopaedic Surgery | 2121 E. Harmony Rd. Ste 290, Fort Collins, CO 80528 | 2007-05-22 |
| 1174748008 | Light of The Rockies Christian Counseling Center | Clinic/Center | 5236 Strauss Cabin Rd, Fort Collins, CO 80528 | 2007-04-16 |
| Find all providers in zip 80528 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396355244 | Kidstuff Child and Family Counseling, P.C. | Psychologist | 1006 Robertson St., Ste. 120, Fort Collins, CO 80524 | 2020-08-05 |
| 1316565161 | Heart Centered Counseling Inc | Psychologist | 215 W Oak St, Fort Collins, CO 80521-2730 | 2020-07-08 |
| 1790309144 | Katharine D Schneider | Psychologist | 2427 Maple Hill Dr, Fort Collins, CO 80524-2308 | 2020-06-02 |
| 1316582091 | Ewa Ostoja LLC | Psychologist | 149 W Harvard St Ste 202, Fort Collins, CO 80525-2186 | 2019-11-17 |
| 1487124517 | Mark Anthony Prince | Psychologist | 1876 Campus Delivery # Clarkc07, Fort Collins, CO 80523-1876 | 2018-12-02 |
| 1972915957 | Maya Pignatore | Psychologist | 1245 E Lincoln Ave, Apt 420, Fort Collins, CO 80524-4744 | 2014-05-27 |
| 1588916951 | .kathryn M Rickard | Psychologist | 6018 Wingspread Ct, Fort Collins, CO 80524-9372 | 2012-10-10 |
| 1912282393 | Ainara Echanove | Psychologist | 1281 E Magnolia St # 123, Fort Collins, CO 80524-4796 | 2011-10-17 |
| 1376848523 | Jacqueline Rae Voss | Psychologist | Csuhn Counseling Services, Colorado State University, Fort Collins, CO 80523-0001 | 2011-01-20 |
| 1891928479 | Tiah L. Terranova | Psychologist | 300 Boardwalk Drive, Unit 5a, Fort Collins, CO 80525-3093 | 2009-08-28 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80528 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.