Active NPI
Deborah O. White, PHD
- Forensic Psychologist
- Boston, MA
National Provider Identifier
1891702494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychologist
- License
- 8533
- Practice address
- 25 Staniford St
Plaza Level
Boston, MA 02114-2503 - Phone
- (617) 626-8642
- Fax
- (617) 626-8669
- NPI assigned
- Aug 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Forensic Psychologist | 103TF0200X | 8533 | MA | Primary |
Addresses
Primary practice location
25 Staniford St
Plaza Level
Boston, MA 02114-2503
Mailing address
14 Bayberry LN
Cohasset, MA 02025-1606
Phone (617) 626-8642
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8533 | MA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlantic Psychiatric Services | Past | 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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Virginia Beach, VA
- NPI 1063514925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891702494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 BAYBERRY LN",
"city": "COHASSET",
"state": "MA",
"postal_code": "020251606",
"telephone_number": "617-626-8642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 STANIFORD ST",
"address_2": "PLAZA LEVEL",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142503",
"telephone_number": "617-626-8642",
"fax_number": "617-626-8669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "DEBORAH",
"middle_name": "O.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "MA",
"license": "8533",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.