Phillip White, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

33570 Issued in CA

Practice address

751 S Weir Canyon Rd Ste 157-732
Anaheim, CA 92808-1962

Phone

(714) 222-9727

NPI assigned

Jan 9, 2023

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1801500533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 S WEIR CANYON RD STE 157-732",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928081962",
            "telephone_number": "714-222-9727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 S WEIR CANYON RD STE 157-732",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928081962",
            "telephone_number": "714-222-9727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "PHILLIP",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "33570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "willowpsychological@gmail.com",
            "affiliation": "N",
            "endpointDescription": "business e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5801 E Prospector Cir Ste 157-732",
            "city": "Anaheim",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928074774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ashley White
• Chantia Nicole White
• Dean White
• Khia White
• Kierra Denise White
• Rebecca White
• Sandra White
• Kristen Whitehouse
• Kenneth M. Whittaker, MD
• Haley Whyte, DPT

• Clinical Psychologist in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.