KATHLEEN ANNE WHALEY MD NPI 1598706327

NPI Information

NPI: 1598706327
Provider Name: KATHLEEN ANNE WHALEY, MD
Classification: Psychiatry & Neurology - 2084A0401X
Entity Type: Individual

Specialization: Addiction Medicine

Organization: CONIFER PARK INC

PECOS Registration: Yes

Address:
556 CLINTON AVE S
ROCHESTER, NY
ZIP 14620
Phone: (585) 442-8422
Get Directions

Kathleen Anne Whaley, MD is an addiction medicine psychiatry neurology in Rochester, NY with 34 years of experience. The provider is a doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine Kathleen Anne Whaley, MD NPI is 1598706327. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1990

The provider's business location address is:

556 CLINTON AVE S
ROCHESTER, NY
ZIP 14620-105
Phone: (585) 442-8422

The NPI 1598706327 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/10/2006 and was last updated on 8/25/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207P00000X	Emergency Medicine		285708	NEW YORK	No
2	2084A0401X	Psychiatry & Neurology	Addiction Medicine	285708	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01420800	MEDICAID	NEW YORK
2	01420795	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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