White Mountain Psychological Services, LTD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3490 Issued in AZ

Legal business name

WHITE MOUNTAIN PSYCHOLOGICAL SERVICES, LTD

Practice address

372C W White Mountain Blvd
Lakeside, AZ 85929-6906

Phone

(928) 367-8243

Fax

(928) 367-8243

NPI assigned

Jun 6, 2007

Last updated

Feb 23, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. William Walter Arnett Jr., PSY.D.

Title

Ceo

Phone

(928) 367-8243

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eddie Duane Lauritsen

  • Psychologist
  • Show Low, AZ
  • NPI 1023004686
  NPD (past)

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203724800000",
    "number": "1073716395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372C W WHITE MOUNTAIN BLVD",
            "city": "LAKESIDE",
            "state": "AZ",
            "postal_code": "859296906",
            "telephone_number": "928-367-8243",
            "fax_number": "928-367-8243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372C W WHITE MOUNTAIN BLVD",
            "city": "LAKESIDE",
            "state": "AZ",
            "postal_code": "859296906",
            "telephone_number": "928-367-8243",
            "fax_number": "928-367-8243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE MOUNTAIN PSYCHOLOGICAL SERVICES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2008-02-23",
        "status": "A",
        "authorized_official_last_name": "ARNETT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "928-367-8243",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "3490",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AZ",
            "license": "LMFT-10183",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• White Mountain Foot and Ankle Care Center PLLC
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• White Mountain Imaging, LLC
• White Mountain Medical Consultants LLC
• White Mountain Pediatrics, PC
• White Mountain Sleep Lab, Inc
• Jesse Wilcock, OTR/L
• Roy Doyle Wilkins, D.C., DABCN
• Erin Willoby
• Women First GYN PLLC

• Clinical Psychologist in Lakeside, AZ
• Providers in Lakeside, AZ by specialty
• Clinical Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2008; 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.