Individual provider Active NPI

John Hubert White Jr., PH.D.

  • Clinical Psychologist
  • Absecon, NJ
National Provider Identifier
1306000419
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35SI00399900 Issued in NJ
Practice address
11 E Church St
Absecon, NJ 08201-2116
Phone
(609) 226-3202
Fax
(609) 748-2212
NPI assigned
Jul 17, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 35SI00399900 NJ Primary

Addresses

Primary practice location

11 E Church St
Absecon, NJ 08201-2116

Mailing address

11 E Church St
Absecon, NJ 08201-2116
Phone (609) 226-3202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050519000378 NJ Practitioner - Clinical Psychologist 5092756015 Practice locations: Vineland, NJ; Galloway, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11 E Church St
Absecon, NJ 08201-2116

1237 W Sherman Ave
Vineland, NJ 08360-6920
Phone (856) 896-2004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Behavioral Health, Inc. Past Accepting new patients
Ramundo Psychological Associates PastSince Feb 15, 2023 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216252800000",
    "number": "1306000419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 E CHURCH ST",
            "city": "ABSECON",
            "state": "NJ",
            "postal_code": "082012116",
            "telephone_number": "609-226-3202",
            "fax_number": "609-748-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 E CHURCH ST",
            "city": "ABSECON",
            "state": "NJ",
            "postal_code": "082012116",
            "telephone_number": "609-226-3202",
            "fax_number": "609-748-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JOHN",
        "middle_name": "HUBERT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-17",
        "last_updated": "2008-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00399900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Absecon, NJ

Sources for this page

Verify at the official NPI Registry.