Active NPI
Andrew Steven White, PH.D.
- Psychologist
- Lincoln, NE
National Provider Identifier
1376064022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1032
- Practice address
- 4501 South 70TH Street
Suite 120
Lincoln, NE 68516 - Phone
- (402) 483-1936
- Fax
- (402) 483-7314
- NPI assigned
- Jul 3, 2017
- Last updated
- Jul 21, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 10948 | NE | |
| Psychologist | 103T00000X | 1032 | NE | Primary |
Addresses
Primary practice location
4501 South 70TH Street
Suite 120
Lincoln, NE 68516
Mailing address
4501 South 70TH Street
Suite 120
Lincoln, NE 68516
Phone (402) 483-1936
Other practice location 1
2444 O St
Lincoln, NE 68510-1125
Phone (402) 475-7666
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 470398819 | Medicaid | NE |
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 |
|---|---|---|---|
| 10948 | NE | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Pediatric & Family Therapy Program, LLC | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Behavioral Pediatric & Family Therapy Program
- Psychologist
- Lincoln, NE
- NPI 1336224971
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1376064022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4501 SOUTH 70TH STREET",
"address_2": "SUITE 120",
"city": "LINCOLN",
"state": "NE",
"postal_code": "68516",
"telephone_number": "402-483-1936",
"fax_number": "402-483-7314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4501 SOUTH 70TH STREET",
"address_2": "SUITE 120",
"city": "LINCOLN",
"state": "NE",
"postal_code": "68516",
"telephone_number": "402-483-1936",
"fax_number": "402-483-7314"
}
],
"practiceLocations": [
{
"address_1": "2444 O St",
"address_purpose": "LOCATION",
"city": "Lincoln",
"state": "NE",
"postal_code": "685101125",
"country_code": "US",
"telephone_number": "402-475-7666",
"fax_number": "402-476-9623",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITE",
"first_name": "ANDREW",
"middle_name": "STEVEN",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-07-03",
"last_updated": "2022-07-21",
"certification_date": "2021-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "10948",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NE",
"license": "1032",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "470398819",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.