Active NPI
Nathan James White, PH.D.
- Counseling Psychologist
- Bradenton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- PY 8659
- Practice address
- 6050 34TH St W Apt 121
Bradenton, FL 34210-3602 - Phone
- (941) 315-6895
- NPI assigned
- Jan 14, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | PY 8659 | FL | Primary |
Addresses
Primary practice location
6050 34TH St W Apt 121
Bradenton, FL 34210-3602
Mailing address
PO Box 2062
Sarasota, FL 34230-2062
Phone (480) 323-9742
Other practice location 1
46 Peppermint Ln
Willingboro, NJ 08046-2716
Phone (480) 323-9742
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NJ, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1201 6TH Ave W
Suite 100
Bradenton, FL 34205-7413
Phone (480) 323-9742
2240 Becton Way
Apt 4202
Fort Worth, TX 76177-3067
Phone (480) 323-9742
46 Peppermint LN
Willingboro, NJ 08046-2716
Phone (480) 323-9742
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY 8659 | FL | MD | Counseling Psychologist |
| 39623 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smart Living Coaching Services LLC | Counseling | Current | Accepting new patients |
Locations
1201 6th Ave W
Ste 100
Bradenton, FL 34205
Phone (480) 323-9742
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": "1358121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694649600000",
"number": "1700123536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2062",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342302062",
"telephone_number": "480-323-9742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6050 34TH ST W APT 121",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342103602",
"telephone_number": "941-315-6895"
}
],
"practiceLocations": [
{
"address_1": "46 Peppermint Ln",
"address_purpose": "LOCATION",
"city": "Willingboro",
"state": "NJ",
"postal_code": "080462716",
"country_code": "US",
"telephone_number": "480-323-9742",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITE",
"first_name": "NATHAN",
"middle_name": "JAMES",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-01-14",
"last_updated": "2023-09-14",
"certification_date": "2023-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "FL",
"license": "PY 8659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.