Individual provider Active NPI

Diane R Wilhite, PH.D.

  • Clinical Psychologist
  • Beaumont, TX
National Provider Identifier
1992942569
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
14350 Issued in TX
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

Updated by the provider on Mar 8, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230321002049 TX Practitioner - Clinical Psychologist 5193199834 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
14350TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Psychological Care I, LLC Clinical CurrentSince Mar 6, 2023 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

Verify at the official NPI Registry.