Active NPI
Debra Joan White, PH.D.
- Psychologist
- Santa Rosa, CA
National Provider Identifier
1972525137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY 8422
- Practice address
- 625 Cherry St
Suite 5
Santa Rosa, CA 95404-4202 - Phone
- (707) 573-8890
- NPI assigned
- Jul 24, 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY 8422 | CA | Primary |
Addresses
Primary practice location
625 Cherry St
Suite 5
Santa Rosa, CA 95404-4202
Mailing address
5226 McFarland Rd
Sebastopol, CA 95472-5713
Phone (707) 823-2510
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 |
|---|---|---|---|
| PSY 8422 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972525137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5226 MCFARLAND RD",
"city": "SEBASTOPOL",
"state": "CA",
"postal_code": "954725713",
"telephone_number": "707-823-2510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 CHERRY ST",
"address_2": "SUITE 5",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954044202",
"telephone_number": "707-573-8890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "DEBRA",
"middle_name": "JOAN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY 8422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa, CA
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.