John White, CASAC-T
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · New York, NY
NPI 1780925271 · NPPES record last updated Mar 7, 2013
Key facts
- NPI
- 1780925271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 19 Union SQ W
7TH Floor
New York, NY 10003-3304 - Phone
- (212) 627-9600
- Fax
- (212) 627-4040
- NPI assigned
- Mar 7, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Realization Center, Inc. | Past |
Accepting new patients | |
| Realization Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
19 Union SQ W
7TH Floor
New York, NY 10003-3304
Mailing address
19 Union SQ W
7TH Floor
New York, NY 10003-3304
Phone (212) 627-9600
Other providers in New York, NY
- Jacob White
- Jason James White
- Jay Brandon Wilson White
- Jess White
- Jessica Mary-Kathleen Ayanna White
- Jonathon Matthew White
- Jordan Sherrell White
- Josephine Tasheka White
- Josh White
- Judith Costella White
All providers in New York, NY · Addiction (Substance Use Disorder) Counselor in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.