Active NPI
Michael White
- Day Training/Habilitation Specialist
- Tempe, AZ
National Provider Identifier
1871267443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Day Training/Habilitation Specialist
- License
- Q14778
- Practice address
- 1500 E Broadway Rd Apt 1137
Tempe, AZ 85282-1660 - Phone
- (480) 658-4599
- NPI assigned
- Aug 5, 2021
- 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 |
|---|---|---|---|---|
| Day Training/Habilitation Specialist | 373H00000X | Q14778 | AZ | Primary |
Addresses
Primary practice location
1500 E Broadway Rd Apt 1137
Tempe, AZ 85282-1660
Mailing address
1500 E Broadway Rd Apt 1137
Tempe, AZ 85282-1660
Phone (480) 658-4599
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q14778 | AZ | MD | Day Training/Habilitation Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Right Way Living | Current | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Adult Care Home Facility
- Tempe, AZ
- NPI 1508535634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628121600000",
"number": "1871267443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 E BROADWAY RD APT 1137",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852821660",
"telephone_number": "480-658-4599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 E BROADWAY RD APT 1137",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852821660",
"telephone_number": "480-658-4599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-05",
"last_updated": "2021-08-05",
"certification_date": "2021-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": "AZ",
"license": "Q14778",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.