Jonathan E Whalen (NPI# 1043240914, PAC ID# 7113959990) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1043240914 |
| PAC ID by PECOS | 7113959990 |
| Professional Enrollment ID | I20050831000861 |
| Full Name | Jonathan E Whalen |
| Organization Legal Name | LIPP CARLSON WITUCKI AND ASSOCIATES LTD |
| Address |
2808 17th Ave S Grand Forks ND 58201-4010 |
| Phone Number | 7017468376 |
| Gender | M |
| Credential | CP |
| Graduation Year | 1998 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Group Practice PAC ID | 2062408701 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2808 17th Ave S, Grand Forks, ND 58201-4010 | 7017468376 | LIPP CARLSON WITUCKI AND ASSOCIATES LTD |
| Organization Legal Name | LIPP CARLSON WITUCKI AND ASSOCIATES LTD |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda M Jimenez | Clinical Social Worker | Lipp Carlson Witucki and Associates Ltd | 2808 17th Ave S, Grand Forks, ND 58201-4010 |
| Tara L Shirek | Clinical Social Worker | Lipp Carlson Witucki and Associates Ltd | 2808 17th Ave S, Grand Forks, ND 58201-4010 |
| John Campbell | Psychologist, Clinical | Lipp Carlson Witucki and Associates Ltd | 2808 17th Ave S, Grand Forks, ND 58201-4010 |
| Susan A Spivey | Clinical Social Worker | Lipp Carlson Witucki and Associates Ltd | 2808 17th Ave S, Grand Forks, ND 58201-4010 |
| Holly J Wolf | Psychologist, Clinical | Lipp Carlson Witucki and Associates Ltd | 2808 17th Ave S, Grand Forks, ND 58201-4010 |
| Brenda J King | Psychologist, Clinical | Lipp Carlson Witucki and Associates Ltd | 2808 17th Ave S, Grand Forks, ND 58201-4010 |
| Katherine Dusenbury | Clinical Social Worker | Lipp Carlson Witucki and Associates Ltd | 2808 17th Ave S, Grand Forks, ND 58201-4010 |
| Street Address |
2808 17TH AVE S |
| City | GRAND FORKS |
| State | ND |
| Zip | 58201-4010 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda M Jimenez | Clinical Social Worker | Lipp Carlson Witucki and Associates Ltd | 2808 17th Ave S, Grand Forks, ND 58201-4010 |
| Tara L Shirek | Clinical Social Worker | Lipp Carlson Witucki and Associates Ltd | 2808 17th Ave S, Grand Forks, ND 58201-4010 |
| John Campbell | Psychologist, Clinical | Lipp Carlson Witucki and Associates Ltd | 2808 17th Ave S, Grand Forks, ND 58201-4010 |
| Susan A Spivey | Clinical Social Worker | Lipp Carlson Witucki and Associates Ltd | 2808 17th Ave S, Grand Forks, ND 58201-4010 |
| Holly J Wolf | Psychologist, Clinical | Lipp Carlson Witucki and Associates Ltd | 2808 17th Ave S, Grand Forks, ND 58201-4010 |
| Brenda J King | Psychologist, Clinical | Lipp Carlson Witucki and Associates Ltd | 2808 17th Ave S, Grand Forks, ND 58201-4010 |
| Katherine Dusenbury | Clinical Social Worker | Lipp Carlson Witucki and Associates Ltd | 2808 17th Ave S, Grand Forks, ND 58201-4010 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristina L Aikens | Optometry | North Dakota Eye Clinic Ltd | 1820 42nd St S, Grand Forks, ND 58201 |
| Rachel Sauter | Nurse Practitioner | St. Sophie's LLC | 1451 44th Ave S, Grand Forks, ND 58201-3415 |
| Jill M Mcmullen | Nurse Practitioner | St. Sophie's LLC | 1451 44th Ave S, Grand Forks, ND 58201-3415 |
| Terry S Dobmeier | Certified Clinical Nurse Specialist (cns) | St. Sophie's LLC | 1451 44th Ave S, Grand Forks, ND 58201-3415 |
| Aminata Kamara | Nurse Practitioner | St. Sophie's LLC | 1451 44th Ave S, Grand Forks, ND 58201-3415 |
| Constance F Soper | Physician Assistant | St. Sophie's LLC | 1451 44th Ave S, Grand Forks, ND 58201-3415 |
| Randy Swingen | Nurse Practitioner | St. Sophie's LLC | 1451 44th Ave S, Grand Forks, ND 58201-3415 |
| Emmet M Kenney Jr. | Psychiatry | St. Sophie's LLC | 1451 44th Ave S, Grand Forks, ND 58201-3415 |
| Mark G Peterson | Family Medicine | Northland Family Physicians LLC | 1451 44th Ave S, Suite A, Grand Forks, ND 58201-3434 |
| Kelly Pratt | Nurse Practitioner | Kidney and Hypertension Plc | 1451 44th Ave S, Suite 112d, Grand Forks, ND 58201-3434 |
| Find all physicians in zip 58201 | |||
| City | GRAND FORKS |
| Zip Code | 58201 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | GRAND FORKS + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Jonathan E Whalen.
| 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.