Active NPI
Patricia A White, PH.D.
- Psychologist
- Las Vegas, NV
National Provider Identifier
1073666509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY134
- Practice address
- 2660 Crimson Canyon Dr
Ste 150
Las Vegas, NV 89128-0845 - Phone
- (702) 370-2636
- NPI assigned
- Jan 19, 2007
- Last updated
- Sep 25, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY134 | NV | Primary |
| Clinical Psychologist | 103TC0700X | PY134 | NV | |
| Counseling Psychologist | 103TC1900X | PY134 | NV |
Addresses
Primary practice location
2660 Crimson Canyon Dr
Ste 150
Las Vegas, NV 89128-0845
Mailing address
PO Box 370286
Las Vegas, NV 89137-0286
Phone (702) 370-2636
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2602064 | Medicaid | NV |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY134 | NV | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patricia a. White, PH.D. LLC | Psychologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190678400000",
"number": "1073666509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 370286",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891370286",
"telephone_number": "702-370-2636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2660 CRIMSON CANYON DR",
"address_2": "STE 150",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891280845",
"telephone_number": "702-370-2636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "PATRICIA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-19",
"last_updated": "2007-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NV",
"license": "PY134",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NV",
"license": "PY134",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "NV",
"license": "PY134",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2602064",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.