Robert Glenn White Jr.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

1223 N 4TH Ave
Durant, OK 74701-3309

Phone

(580) 380-3250

Fax

(580) 931-9044

NPI assigned

May 26, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Elite Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kingston, OK
  • NPI 1144554585
  Medicare reassignment NPD

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

{
    "created_epoch": "1274832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274832000000",
    "number": "1598084857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 N 4TH AVE",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747013309",
            "telephone_number": "580-380-3250",
            "fax_number": "580-931-9044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 N 4TH AVE",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747013309",
            "telephone_number": "580-380-3250",
            "fax_number": "580-931-9044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "ROBERT",
        "middle_name": "GLENN",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-26",
        "last_updated": "2010-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Whitaker
• Tracy Whitaker
• Carla White, RN
• Hayden White
• Mandy White, PTA
• Teresa White
• Andrew Scott Whitley, O.D.
• Jadynn Whitson
• Rayelyn Whitson
• Kinion Whittington, DO

• Behavior Analyst in Durant, OK
• Providers in Durant, OK by specialty
• Behavior Analyst in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.