NPIMap

Organization Active NPI

Nicole Davis White, PA

  • Clinical Psychologist
  • Aventura, FL
National Provider Identifier
1114163755
Registry record updated Jan 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY7520 Issued in FL
Legal business name
NICOLE DAVIS WHITE, PA
Practice address
2750 NE 185TH St
Suite 304
Aventura, FL 33180-2876
Phone
(305) 933-5733
Fax
(305) 933-5233
NPI assigned
Jan 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2009

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

Authorized official

Name
Dr. Nicole Renee Davis, PSY.D., J.D.
Title
Executive Director
Phone
(305) 933-5733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY7520 FL Primary

Addresses

Primary practice location

2750 NE 185TH St
Suite 304
Aventura, FL 33180-2876

Mailing address

2750 NE 185TH St
Suite 304
Aventura, FL 33180-2876
Phone (305) 933-5733

National Provider Directory

National Provider Directory

Locations

2750 NE 185th St
Ste 304
Aventura, FL 33180
Phone (305) 933-5733

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1231027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231027200000",
    "number": "1114163755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 NE 185TH ST",
            "address_2": "SUITE 304",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331802876",
            "telephone_number": "305-933-5733",
            "fax_number": "305-933-5233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 NE 185TH ST",
            "address_2": "SUITE 304",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331802876",
            "telephone_number": "305-933-5733",
            "fax_number": "305-933-5233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE DAVIS WHITE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-04",
        "last_updated": "2009-01-04",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "305-933-5733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D., J.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2009; 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.