MEDICARE: THERESA WHITAKER PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	11603	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00000000	OTHER		N/A

General Provider Information

NPI Number	:	1528664950
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THERESA WHITAKER PHD

Provider Business Mailing Address
First Line	:	1775 MASSACHUSETTS AVE STE 3
Second Line	:
City	:	LEXINGTON
State	:	MA
Zip	:	02420-5322
Country	:	US
Telephone Number	:	315-404-9554
Fax Number	:

Provider Business Practice Location Address
First Line	:	1775 MASSACHUSETTS AVE STE 3
Second Line	:
City	:	LEXINGTON
State	:	MA
Zip	:	02420-5322
Country	:	US
Telephone Number	:	315-404-9554
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/10/2020
Last Update Date	:	08/15/2025

Similar Medicare Providers

1992482848 — ANGELIQUE KLEER MSN, APRN, PMHNP-BC
Practice Location Address:

1775 MASSACHUSETTS AVE STE 3
LEXINGTON, MA
02420-5322

Practice Phone: 508-203-1581
Practice Fax: 617-802-9766

1275254039 — JOURNEYS
Practice Location Address:

1775 MASSACHUSETTS AVE STE 3A
LEXINGTON, MA
02420-5322

Practice Phone: 781-472-0341
Practice Fax:

1548129307 — DR. DANIEL VERRENGIA DMIN
Practice Location Address:

809 MASSACHUSETTS AVE STE 2
LEXINGTON, MA
02420-3908

Practice Phone: 781-354-2315
Practice Fax:

1700744869 — DYER NEED CHIROPRACTIC
Practice Location Address:

76 BEDFORD ST STE 27
LEXINGTON, MA
02420-4641

Practice Phone: 781-274-6462
Practice Fax:

1205833555 — DR. KATHLEEN LAMBERT MD
Practice Location Address:

57 BEDFORD ST , STE 130
LEXINGTON, MA
02420-4500

Practice Phone: 781-868-7500
Practice Fax: 781-861-1409

1598762858 — DR. ANDREW O NICHOLS MD
Practice Location Address:

57 BEDFORD ST , STE 130
LEXINGTON, MA
02420-4500

Practice Phone: 781-862-7500
Practice Fax: 781-861-1409

Directions to “ THERESA WHITAKER PHD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.