Active NPI
Caitlyn Briana White, ATR
- Clinical Child & Adolescent Psychologist
- Austell, GA
National Provider Identifier
1942098041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 22-013
- Practice address
- 3890 Floyd Rd Apt 8102
Austell, GA 30106-1736 - Phone
- (360) 292-9061
- NPI assigned
- Apr 28, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | 22-013 | Primary |
Addresses
Primary practice location
3890 Floyd Rd Apt 8102
Austell, GA 30106-1736
Mailing address
5500 Ming Ave Ste 410
Bakersfield, CA 93309-4631
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22-013 | Other | ATR |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745798400000",
"number": "1942098041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5500 MING AVE STE 410",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933094631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3890 FLOYD RD APT 8102",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301061736",
"telephone_number": "360-292-9061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "CAITLYN",
"middle_name": "BRIANA",
"credential": "ATR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-28",
"last_updated": "2025-04-28",
"certification_date": "2025-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": null,
"license": "22-013",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ATR",
"identifier": "22-013",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Austell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.