PAUL DAVE WHITTAKER (PH.D.) – Clinical Psychologist, NPI 1831107143
Clinical Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
160 CLINICAL PSYCHOLOGIST in AL
Provider Addresses for PAUL DAVE WHITTAKER (PH.D.)
4315 GOLF CLUB DR APT 8213
AUBURN, AL 368306081
Phone: (205) 317-9274
Fax: (806) 367-5530
Type: Mailing
6532, 86th Street, Monterry, Lubbock, Lubbock County, Texas, 79424, United States
LUBBOCK, TX 794244770
Phone: (205) 317-9274
Fax: (806) 354-0011
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-12-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040715001306 | I | Clinical Psychologist | TX | TBD |
| I20241223000255 | I | Clinical Psychologist | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 36830)
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