Active NPI
Diane R Wilhite, PH.D.
- Clinical Psychologist
- Beaumont, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 14350
- Practice address
- 3060 FM 3514
Beaumont, TX 77705-7635 - Phone
- (409) 722-5255
- NPI assigned
- Jan 19, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 14350 | TX | Primary |
| Counseling Psychologist | 103TC1900X | 14350 | TX |
Addresses
Primary practice location
3060 FM 3514
Beaumont, TX 77705-7635
Mailing address
1505 Browning Rd
Orange, TX 77630-2803
Phone (409) 886-5376
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14350 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Psychological Care I, LLC | Clinical | Current | Accepting new patients |
| Utmb | Multi-Specialty | Past | Accepting new patients |
Locations
1175 Denton St
Beaumont, TX 77707
Phone (409) 842-3120
4653 SW Fwy
Ste 635
Houston, TX 77027
4635 Southwest Fwy
Ste 635
Houston, TX 77027
Phone (214) 923-7777
413 Garland Dr
Lake Jackson, TX 77566
Phone (979) 297-3266
920 E Avenue L
Silsbee, TX 77656
Phone (409) 385-5571
6602 Memorial Dr
Texas City, TX 77591
Phone (409) 935-2451
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678233600000",
"number": "1992942569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1505 BROWNING RD",
"city": "ORANGE",
"state": "TX",
"postal_code": "776302803",
"telephone_number": "409-886-5376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3060 FM 3514",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777057635",
"telephone_number": "409-722-5255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILHITE",
"first_name": "DIANE",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-19",
"last_updated": "2023-03-08",
"certification_date": "2023-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "14350",
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "TX",
"license": "14350",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaumont, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.