Mark White, PH.D., P.a.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

35SI00156500 Issued in NJ

Legal business name

MARK WHITE, PH.D., P.A.

Practice address

2517 Highway 35
Building J, Suite 101
Manasquan, NJ 08736-1918

Phone

(732) 528-7844

Fax

(732) 528-0040

NPI assigned

Nov 29, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Mark White, PH.D.NPI 1205956711

Title

Licensed Psychologist

Phone

(732) 528-7844

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 3

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

• Mark White, PH.D.

  • Clinical Psychologist
  • Manasquan, NJ
  • NPI 1205956711
  Medicare reassignment Authorized official
• Harry Kyle Barr IV, PSY.D.

  • Clinical Psychologist
  • Ocean, NJ
  • NPI 1851456222
  NPD (past)
• Ralph Joseph Fretz, PH.D.

  • Forensic Psychologist
  • Manasquan, NJ
  • NPI 1629191390
  NPD (past)

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

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292457600000",
    "number": "1194027045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2517 HIGHWAY 35",
            "address_2": "BUILDING J, SUITE 101",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361918",
            "telephone_number": "732-528-7844",
            "fax_number": "732-528-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2517 HIGHWAY 35",
            "address_2": "BUILDING J, SUITE 101",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361918",
            "telephone_number": "732-528-7844",
            "fax_number": "732-528-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK WHITE, PH.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-29",
        "last_updated": "2010-12-16",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "732-528-7844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00156500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manasquan Counseling Center LLC
• Stephanie A Mansfield, LCSW
• Martin E Manzo, D.C.
• Kelli Katherine Marchitello, LPC, BCBA
• Mark M. Seckler, M.D., P.a.
• Alanna Marrero, LPC
• Nicole G Martell, PSY.D., MBA
• Bianca Martinez, MD
• Michael Bruno Maschi, LCSW
• Bethany Catherine Mattson, LAC

• Psychologist in Manasquan, NJ
• Providers in Manasquan, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.