| Whitten Psychological Services, Pllc. | |
|
1028 Main St Shelbyville KY 40065-1315 | |
| (502) 647-2477 | |
| (502) 371-0890 |
| Full Name | Whitten Psychological Services, Pllc. |
|---|---|
| Speciality | Psychologist |
| Location | 1028 Main St, Shelbyville, Kentucky |
| Authorized Official Name and Position | Esther Maeser (OFFICE MANAGER) |
| Authorized Official Contact | 5026472477 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Whitten Psychological Services, Pllc. 1028 Main St Shelbyville KY 40065-1315 Ph: (502) 647-2477 | Whitten Psychological Services, Pllc. 1028 Main St Shelbyville KY 40065-1315 Ph: (502) 647-2477 |
| NPI Number | 1871919977 |
|---|---|
| Provider Enumeration Date | 03/13/2014 |
| Last Update Date | 10/12/2020 |
| Certification Date | 10/12/2020 |
| Medicare PECOS PAC ID | 7214169937 |
|---|---|
| Medicare Enrollment ID | O20140411001256 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871919977 | NPI | - | NPPES |
| 7100333590 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 1677 (Kentucky) | Primary |
| Provider Name | Curtis D Chandler |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1336246594 PECOS PAC ID: 5799826384 Enrollment ID: I20100105000080 |
| Provider Name | Charles J Biebel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538430624 PECOS PAC ID: 2769625813 Enrollment ID: I20130821000635 |
| Provider Name | Michael E Whitten |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962715458 PECOS PAC ID: 5193950582 Enrollment ID: I20131018001659 |
| Provider Name | Laura C Herp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508172032 PECOS PAC ID: 0042474314 Enrollment ID: I20200207001825 |
| Provider Name | Christina A Severo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932830551 PECOS PAC ID: 7517349004 Enrollment ID: I20220730000266 |
| Provider Name | Mckenzie Jo Cordell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558927673 PECOS PAC ID: 4486019890 Enrollment ID: I20230508000635 |
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