Individual provider Active NPI

Joseph White, MA

  • Psychologist
  • Polk City, IA
National Provider Identifier
1063284487
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
134095 Issued in IA
Practice address
108 Woodhaven Dr
Polk City, IA 50226-2054
Phone
(319) 360-7233
NPI assigned
Oct 30, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X
Psychologist 103T00000X 134095 IA Primary

Addresses

Primary practice location

108 Woodhaven Dr
Polk City, IA 50226-2054

Mailing address

108 Woodhaven Dr
Polk City, IA 50226-2054
Phone (319) 360-7233

Other practice location 1

633 Emerson St Fl Hall2
Evanston, IL 60208-0844
Phone (847) 491-2151

Other practice location 2

Ball Hall College Of Education University Of Memphis
Memphis, TN 38152-0001
Phone (901) 678-2841

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
134095IAMDPsychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1063284487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 WOODHAVEN DR",
            "city": "POLK CITY",
            "state": "IA",
            "postal_code": "502262054",
            "telephone_number": "319-360-7233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 WOODHAVEN DR",
            "city": "POLK CITY",
            "state": "IA",
            "postal_code": "502262054",
            "telephone_number": "319-360-7233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "633 Emerson St Fl Hall2",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "IL",
            "postal_code": "602080844",
            "country_code": "US",
            "telephone_number": "847-491-2151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Ball Hall College Of Education University Of Memphis",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381520001",
            "country_code": "US",
            "telephone_number": "901-678-2841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JOSEPH",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-30",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IA",
            "license": "134095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Polk City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.