Kathleen Petrie Whitley (NPI# 1083708325, PAC ID# 3375580327) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1083708325 |
| PAC ID by PECOS | 3375580327 |
| Professional Enrollment ID | I20110228000031 |
| Full Name | Kathleen Petrie Whitley |
| Organization Legal Name | SUMMITSTONE HEALTH PARTNERS |
| Address |
525 W Oak St Fort Collins CO 80521-2612 |
| Phone Number | 9704944200 |
| Gender | F |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF VIRGINIA COMMONWEALTH UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1983 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 4284527144 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060010 | POUDRE VALLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 525 W Oak St, Fort Collins, CO 80521-2612 | 9704944200 | SUMMITSTONE HEALTH PARTNERS |
| Organization Legal Name | SUMMITSTONE HEALTH PARTNERS |
| Physicians | 31 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelsey L Pavlidis | Clinical Social Worker | Summitstone Health Partners | 221 E 29th St, Suite 101, Loveland, CO 80538-2721 |
| Katherine Eike | Clinical Social Worker | Summitstone Health Partners | 1950 Redtail Hawk Dr, Estes Park, CO 80517-9780 |
| Chelsea N Andrews | Clinical Social Worker | Summitstone Health Partners | 114 Bristlecone Dr, Fort Collins, CO 80524-2031 |
| Megan Marie Rogers | Psychologist, Clinical | Summitstone Health Partners | 1217 Riverside Ave, Fort Collins, CO 80524-3218 |
| Patricia A Hamilton | Nurse Practitioner | Summitstone Health Partners | 125 Crestridge St, Fort Collins, CO 80525-3934 |
| Jessica M Coe | Clinical Social Worker | Summitstone Health Partners | 242 Conifer St, Fort Collins, CO 80524-2043 |
| Jeanine L Labaw | Nurse Practitioner | Summitstone Health Partners | 1250 N Wilson Ave, Loveland, CO 80537-4461 |
| Mary N Cook | Psychiatry | Summitstone Health Partners | 700 Centre Ave, Fort Collins, CO 80526-1842 |
| Susan L Dokter | Clinical Social Worker | Summitstone Health Partners | 1250 N Wilson Ave, Loveland, CO 80537-4461 |
| Zeljko M Ivanovic | Psychiatry | Summitstone Health Partners | 2001 S Shields St, Suite G, Fort Collins, CO 80526-1834 |
| Street Address |
525 W OAK ST |
| City | FORT COLLINS |
| State | CO |
| Zip | 80521-2612 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rodrigo A Mendez | Clinical Social Worker | Summitstone Health Partners | 525 W Oak St, Fort Collins, CO 80521-2612 |
| Justin J Shaffer | Clinical Social Worker | Summitstone Health Partners | 525 W Oak St, Fort Collins, CO 80521-2612 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sharon P Austin | Psychologist, Clinical | 315 Canyon Ave A, Fort Collins, CO 80521-2676 | |
| Nola A Macdonald | Family Medicine | 315 Canyon Ave, Suite 3, Fort Collins, CO 80521-2676 | |
| Carol J Dorsey | Occupational Therapy | 315 Canyon Ave, Suite B, Fort Collins, CO 80521-2676 | |
| Jacqueline C Fields | Family Practice | Healing Gardens Health Center | 315 Canyon Ave, Suite 1, Fort Collins, CO 80521-2676 |
| Monica Massaro Garcia | Psychologist, Clinical | Heart Centered Counseling PC | 320 W Olive St, Fort Collins, CO 80521-2716 |
| Kathryn Price | Clinical Social Worker | 320 W Olive St, Fort Collins, CO 80521-2716 | |
| Michael Csw Herr | Clinical Social Worker | Heart Centered Counseling PC | 320 W Olive St, Fort Collins, CO 80521-2716 |
| Marcella Camille Thompson | Clinical Social Worker | Heart Centered Counseling PC | 320 W Olive St, Fort Collins, CO 80521-2716 |
| Linsey E. Norton | Clinical Social Worker | Heart Centered Counseling PC | 320 W Olive St, Fort Collins, CO 80521-2716 |
| Timothy C Woodworth | Clinical Social Worker | Heart Centered Counseling PC | 320 W Olive St, Fort Collins, CO 80521-2716 |
| Find all physicians in zip 80521 | |||
| City | FORT COLLINS |
| Zip Code | 80521 |
| Specialty | PSYCHIATRY |
| City + Specialty | FORT COLLINS + PSYCHIATRY |
Please comment or provide details below to improve the information on Kathleen Petrie Whitley.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.