DR. DAVID J.M. WHITEHOUSE (MD) – Psychiatry Physician, NPI 1598012528

DR. DAVID J.M. WHITEHOUSE (MD) is a healthcare provider. based in Waterbury, Connecticut. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 028976 (CT). The NPI Number for DR. DAVID J.M. WHITEHOUSE (MD) is 1598012528

Main info

Male
Sole Proprietor
44 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID J.M. WHITEHOUSE (MD)
NPI
1598012528
Phone
(203) 619-4696
Address
111 EUCLID AVE
Enumeration Date
9 August 2012
Last Update Date
17 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8333518255
Graduation Year
1982 (44 years ago)
PAC ID
9739586132
Group Practice PAC ID
4880064070
Professional Enrollment ID
I20230614002133
Address ID
MA021103144BO265XXSTXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:13State licenses:1Digital endpointsOther names

851 PSYCHIATRY in CT

Provider Addresses for DR. DAVID J.M. WHITEHOUSE (MD)

  • 111 EUCLID AVE

    WATERBURY, CT 067101614

    Phone: (203) 619-4696

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-06-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210928002603IPsychiatryCTTBD
I20211012001046IPsychiatryNYTBD
I20230614002133IPsychiatryMATBD

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.

Verify on CMS Revalidation Lookup Tool

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 06710)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880064070View full group profile
NameSpecialtyState
P S Y C H I A T R YFL
P S Y C H I A T R YMI
P S Y C H I A T R YNY
Clinical Social WorkerFL
P S Y C H I A T R YFL
P S Y C H I A T R YIN
P S Y C H I A T R YCO
P S Y C H I A T R YNY
Clinical Social WorkerMA
P S Y C H I A T R YNY

Reviews

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Frequently asked questions

Can I use this page to confirm DR. DAVID J.M. WHITEHOUSE (MD)'s NPI?
Yes. DR. DAVID J.M. WHITEHOUSE (MD) is listed with NPI 1598012528 in the public NPI dataset.
Does the file indicate DR. DAVID J.M. WHITEHOUSE (MD) is practicing under active NPI?
Directory data currently reports DR. DAVID J.M. WHITEHOUSE (MD) as active.
What is DR. DAVID J.M. WHITEHOUSE (MD)'s specialty?
The listing groups DR. DAVID J.M. WHITEHOUSE (MD) with Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. DAVID J.M. WHITEHOUSE (MD) on a map?
Expect Waterbury, Connecticut as a primary anchor for DR. DAVID J.M. WHITEHOUSE (MD) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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