Kathryn Grskovich White, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

002927 Issued in CT

Practice address

147 Bishop St
New Haven, CT 06511-3717

Phone

(203) 393-8775

NPI assigned

Apr 10, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Virginia M Shiller, PH.D., LLC

  • Psychologist
  • Lexington, MA
  • NPI 1285927871
  NPD (past)

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

{
    "created_epoch": "1239321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469664000000",
    "number": "1093958746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1199 DURHAM RD",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064431872",
            "telephone_number": "203-393-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 BISHOP ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065113717",
            "telephone_number": "203-393-8775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "KATHRYN",
        "middle_name": "GRSKOVICH",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-10",
        "last_updated": "2016-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "002927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Louise White, C.R.N.A.
• Chavonne Christina White, LCSW
• Devon White, LCSW
• Jordyn White
• Kai Leroi White
• Lauren Jennifer White, M.D.
• Leslie Gretel White, APRN
• Marney A White, PHD
• Mary Bridget Curtin White
• Milo Grant White Jr.

• Clinical Psychologist in New Haven, CT
• Providers in New Haven, CT by specialty
• Clinical Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; 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.