Tamra Whitehead

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BH000052 Issued in PA

Practice address

961 Marcon Blvd Ste 312
Allentown, PA 18109-9373

Phone

(610) 266-0610

Fax

(610) 266-0292

NPI assigned

Apr 9, 2014

Sex

Female

Sole proprietor

No

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)

Not enrolled

State licenses

Practice roles

Locations

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.

• Glenn R. Koch & Associates, LLC

  • Counseling Psychologist
  • Allentown, PA
  • NPI 1093122699
  NPD
• Glenn R Koch and Associates Inc

  • Psychiatry Physician
  • Allentown, PA
  • NPI 1700949161
  NPD (past)

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

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397001600000",
    "number": "1134548902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "961 MARCON BLVD STE 312",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181099373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961 MARCON BLVD STE 312",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181099373",
            "telephone_number": "610-266-0610",
            "fax_number": "610-266-0292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHEAD",
        "first_name": "TAMRA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-09",
        "last_updated": "2014-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH000052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Callie White
• Denise White
• Gwen Morgan White, LCSW
• Kelsey White, DO
• Taylor White, PA-C
• Alyssa Whiting, PT
• David Eric Wiand, D.O.
• Max E Widawski, DO
• H. Douglas Widdowson, M. ED. OF AUDIOLOGY
• Brandi Lynn Widing, CRNP

• Behavior Analyst in Allentown, PA
• Providers in Allentown, PA by specialty
• Behavior Analyst in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; 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.