BRIAN KEITH WHITLOCK (NPI# 1689852709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689852709 |
| Entity Type | Individual |
| Full Name | BRIAN KEITH WHITLOCK |
| Credential | PH.D. |
| Practice Address |
601 W 2nd St Suite 10 Roswell NM 88201-4670 |
| Practice Telephone | 5756239322 |
| Practice Fax Number | 5756276339 |
| Mailing Telephone | 5756239322 |
| Mailing Fax Number | 5756276339 |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2008-04-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
0966 | NM | Behavioral Health & Social Service Providers |
| Y | 103TH0100X |
Psychologist Specialization: Health Service |
0966 | NM | Behavioral Health & Social Service Providers |
| Street Address |
601 W 2ND ST SUITE 10 |
| City | ROSWELL |
| State | NM |
| Zip Code | 88201-4670 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225273162 | Ralph Tellez | Counselor | 601 W 2nd St, Suite 10, Roswell, NM 88201-4670 | 2008-12-05 |
| 1295884153 | Andrew Felipe Gamboa | Counselor | 601 W 2nd St, Suite 10, Roswell, NM 88201-4670 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902310022 | Corey A Carter | Specialist/Technologist, Other | 117 E 19th Street, Roswell, NM 88201 | 2017-11-28 |
| 1326598541 | Dove Medical Corporation | Family Medicine | 110 East 3rd Street, Roswell, NM 88201 | 2016-10-12 |
| 1841748381 | Anali Velez | Registered Nurse | 300 N Kentucky, Roswell, NM 88201 | 2016-09-13 |
| 1831647379 | Rebecca Palomino | Registered Nurse | 800 Marion Richards Rd, Roswell, NM 88201 | 2016-09-13 |
| 1215300926 | Heart Path Oriental Medicine | Clinic/Center | 810 N Union, Roswell, NM 88201 | 2015-11-03 |
| 1538564745 | Lacey Scott | Pharmacist | 1835 N. Main, Roswell, NM 88201 | 2014-10-30 |
| 1962815852 | Marium Khan | Internal Medicine | 400 Military Heights Place, Roswell, NM 88201 | 2014-06-09 |
| 1316288913 | Anaya Counseling | Community/Behavioral Health | 613 W 2nd St Ste 4, Roswell, NM 88201 | 2013-03-06 |
| 1205185386 | Rosarita Brady | Occupational Therapist | 300 N. Kentucky, Roswell, NM 88201 | 2012-09-05 |
| 1922360049 | Ashley Spinhirne Thompson | Speech-Language Pathologist | 304 N. Richardson, Roswell, NM 88201 | 2012-06-14 |
| Find all providers in zip 88201 | ||||
| Taxonomy Code | 103TH0100X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health Service |
| A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). |
| Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750451746 | Behavioral Medicine Associates, Inc. | Psychologist | 601 W 2nd St Ste 10, Roswell, NM 88201-4670 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306810205 | Robert Weisz | Psychologist | 453 Cerrillos Rd, Suite E, Santa Fe, NM 87501-3784 | 2006-02-15 |
| 1396715058 | Paul G. Wilson | Psychologist | 10334 Hendrix Road Ne, Albuquerque, NM 87111 | 2006-01-25 |
| 1205039930 | Mary Ann Cotten and Associates, Inc. | Psychologist | 1408 8th St, Alamogordo, NM 88310-5105 | 2007-06-08 |
| 1952435125 | Eric R Levensky | Psychologist | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5153 | 2007-03-16 |
| 1740292689 | Brian Christopher Kersh | Psychologist | 1501 San Pedro Dr Se, Bhcl (116), Albuquerque, NM 87108-5153 | 2006-08-12 |
Please comment or provide details below to improve the information on BRIAN KEITH WHITLOCK.
| 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.