Active NPI
Matthew Charles Whited, PHD
- Psychologist
- Greenville, NC
National Provider Identifier
1174145338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4376
- Practice address
- Pass Clinic Rawl Building Room 311
East Carolina University
Greenville, NC 27858 - Phone
- (252) 737-4180
- NPI assigned
- May 11, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 4376 | NC | Primary |
Addresses
Primary practice location
Pass Clinic Rawl Building Room 311
East Carolina University
Greenville, NC 27858
Mailing address
East Carolina University; Department of Psychology
E. 5TH Street; Mail Stop 565
Greenville, NC 27858
Phone (252) 328-6308
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4376 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589155200000",
"number": "1174145338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "EAST CAROLINA UNIVERSITY; DEPARTMENT OF PSYCHOLOGY",
"address_2": "E. 5TH STREET; MAIL STOP 565",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "27858",
"telephone_number": "252-328-6308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PASS CLINIC RAWL BUILDING ROOM 311",
"address_2": "EAST CAROLINA UNIVERSITY",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "27858",
"telephone_number": "252-737-4180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITED",
"first_name": "MATTHEW",
"middle_name": "CHARLES",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-11",
"last_updated": "2020-05-11",
"certification_date": "2020-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "4376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.