Active NPI
Molly M. White, PH.D.
- Clinical Psychologist
- Parker, CO
National Provider Identifier
1508958752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3115
- Practice address
- 9235 Crown Crest Blvd Ste 100
Parker, CO 80138-8881 - Phone
- (303) 841-4005
- Fax
- (720) 851-4890
- NPI assigned
- Sep 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3115 | CO | Primary |
Addresses
Primary practice location
9235 Crown Crest Blvd Ste 100
Parker, CO 80138-8881
Mailing address
711 Jefferson Ave
Memphis, TN 38105-5003
Phone (901) 448-6511
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3115 | CO | MD | Clinical Psychologist |
| 2670 | TN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Comprehensive Counseling & Consulting, PLLC | Clinical | Current | Accepting new patients |
Locations
9235 Crown Crest Blvd
Ste 100
Parker, CO 80138
Phone (303) 695-7667
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.
-
- Clinical Psychologist
- Parker, CO
- NPI 1710216387
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664323200000",
"number": "1508958752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 JEFFERSON AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381055003",
"telephone_number": "901-448-6511",
"fax_number": "901-448-7097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9235 CROWN CREST BLVD STE 100",
"city": "PARKER",
"state": "CO",
"postal_code": "801388881",
"telephone_number": "303-841-4005",
"fax_number": "720-851-4890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "MOLLY",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2022-09-28",
"certification_date": "2022-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "3115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Parker, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.