Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mack Arthur Whitehead, DO

Individual provider Psychiatry Physician · NPI 1578067906

Dr. Mack Arthur Whitehead, DO is a Psychiatry in Provo, Utah. Qualified in 2018, 8 years ago. Practices with State of Utah, a 31-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
8
Licensed in
UT
In the registry since
2018
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1300 E Center St
Provo, UT 84606-3554
Phone: (801) 344-4400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 12611528-1204 (UT)

Record details

NPI number1578067906
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 21, 2018
Last updated in NPPESNovember 23, 2022
Certification dateNovember 23, 2022
Mailing addressPo Box 270, Provo, UT 84603-0270

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice State Of Utah — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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