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

Whitney Kantack, PHD, LP

Individual provider Clinical Psychologist · NPI 1124361308

Whitney Kantack, PHD, LP is a Clinical Psychologist in Troy, Michigan. Qualified in 2014, 12 years ago. Accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
12
Licensed in
MI
In the registry since
2013
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

2075 W Big Beaver Rd Ste 520
Troy, MI 48084-3407
Phone: (248) 646-6659
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 6301015876 (MI)

Record details

NPI number1124361308
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD , LP
Sole proprietorNo
NPI enumeratedApril 5, 2013
Last updated in NPPESOctober 21, 2015
Mailing address2075 W Big Beaver Rd, Suite 520, Troy, MI 48084-3407

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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