P Praxis·MD
● Active Type 1 · Individual

DR. Alan J. Whitlock, PH.D.

Psychologist·Moscow, ID· NPI 1174533525 · Enumerated 2006 · 19 years on NPI
Whitlock is 1 of 4 psychologist providers in Moscow and 1 of 38 in Idaho.
NPI age
19 years
Enumerated 2006-08-08
Primary specialty
Psychologist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 38 active psychologist providers in Idaho.

NPI age
19 years
↑ 3 yr above median (16 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
34% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-08Enumerated in NPPES
2006 2026

Where they practice

Practice location
814 S Washington St
Moscow, ID 838433049
📞 2088834026
Mailing address
814 S Washington St
Moscow, ID 838433049
📞 2088834026

Specialties

  • Psychologist Primary
    A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and...
    ID license #PSY 340 taxonomy 103TC1900X

Identifiers

TypeValueNotes
01 (ID) N3405 BLUE CROSS OF IDAHO
01 (ID) 000010017398 REGENCE BLUE SHIELD OF ID

Practice context

Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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