Christopher Jason White

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1230 W Harding Ave
Coolidge, AZ 85128-9291

Phone

(520) 560-2770

NPI assigned

Mar 10, 2021

Last updated

Mar 10, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rize Above Behavioral Health Services, Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Coolidge, AZ
  • NPI 1134704257
  NPD

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

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1316522584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2126 W CAMERON BLVD",
            "city": "COOLIDGE",
            "state": "AZ",
            "postal_code": "851283280",
            "telephone_number": "520-560-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 W HARDING AVE",
            "city": "COOLIDGE",
            "state": "AZ",
            "postal_code": "851289291",
            "telephone_number": "520-560-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "CHRISTOPHER",
        "middle_name": "JASON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-10",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walmart Inc. (Walmart Pharmacy 10-2778)
• Ethan Walsh, DPT
• Catherine Ward, MS, CCC-SLP
• Lawrence E Wells, LPC
• Angela White
• Michael Eugene Wilkinson, DDS
• Sharon Wineinger, RPH
• Womens Health Palace PLLC
• Your Next in Line Transportation Services, LLC

• Behavior Technician in Coolidge, AZ
• Providers in Coolidge, AZ by specialty
• Behavior Technician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.