Individual provider Active NPI

Joyce L. White, PSY.D.

  • Psychologist
  • South Miami, FL
National Provider Identifier
1497963458
Registry record updated Apr 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY8700 Issued in FL
Practice address
7800 S Red Rd
Suite 325
South Miami, FL 33143-5528
Phone
(973) 617-6391
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2569 NC
Psychologist 103T00000X PY8700 FL Primary

Addresses

Primary practice location

7800 S Red Rd
Suite 325
South Miami, FL 33143-5528

Mailing address

7800 S Red Rd
Suite 325
South Miami, FL 33143-5528
Phone (973) 617-6391

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20201006001832 MN Practitioner - Clinical Psychologist 5698194959 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY8700FLMDPsychologist
2569NCMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Evolving Woman Enterprises, Inc. CurrentSince Jun 25, 2020 Accepting new patients

Locations

7400 Metro Blvd
Ste 211
Minneapolis, MN 55439
Phone (952) 835-1616

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428105600000",
    "number": "1497963458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 S RED RD",
            "address_2": "SUITE 325",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435528",
            "telephone_number": "973-617-6391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 S RED RD",
            "address_2": "SUITE 325",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435528",
            "telephone_number": "973-617-6391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JOYCE",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2015-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "2569",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY8700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

Verify at the official NPI Registry.