Tracela Michelle White, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY003238 Issued in GA

Practice address

34 Peachtree St NW
Suite 770
Atlanta, GA 30303-2316

Phone

(912) 557-7001

NPI assigned

Jun 27, 2007

Sex

Female

Sole proprietor

Yes

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

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233878400000",
    "number": "1386841153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 E UPSAL ST",
            "address_2": "APT. 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191502601",
            "telephone_number": "215-548-4237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 PEACHTREE ST NW",
            "address_2": "SUITE 770",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303032316",
            "telephone_number": "912-557-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "TRACELA",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2009-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744R1102X",
            "taxonomy_group": "",
            "desc": "Specialist, Research Study",
            "state": "PA",
            "license": "PS015143",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY003238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan White
• Susan Rebecca White, MA
• Takiedra White, LPC
• Tamara White
• Tiquette Mason White, MD
• Vivian Delois White, RN
• Wade D White, PTA
• William C White, LCSW
• Yolanda L White, MSN, RN
• Zachary B. White II, MD

• Clinical Psychologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2009; 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.