John Walter Beiter, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301015335 Issued in MI

Practice address

2000 Kingston St
White Lake, MI 48386-1613

Phone

(412) 398-7383

NPI assigned

Apr 21, 2008

Last updated

Mar 17, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1208736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489708800000",
    "number": "1407020472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 KINGSTON ST",
            "city": "WHITE LAKE",
            "state": "MI",
            "postal_code": "483861613",
            "telephone_number": "412-398-7383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 KINGSTON ST",
            "city": "WHITE LAKE",
            "state": "MI",
            "postal_code": "483861613",
            "telephone_number": "412-398-7383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEITER",
        "first_name": "JOHN",
        "middle_name": "WALTER",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-21",
        "last_updated": "2017-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "PC004819",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS017237",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301015335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Athletico LTD (Athletico Physical Therapy)
• Mohammad Bakdaleyeh, PHARMD
• Pamela Rose Barckholtz, LMSW
• Rukayya A Bearingwala, P.T.
• James Alan Bedor, D.D.S.
• Carson Birchmeier, DPT
• Gale Bruen
• Shanita Brumwell, MA, LLPC, NCC
• Bryan G Thomas DDS PC
• Thomas Charles Burman, AT, LAT, ATC

• Clinical Psychologist in White Lake, MI
• Providers in White Lake, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; 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.