DR. LAURA WHITE (NPI# 1306275847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306275847 |
| Entity Type | Individual |
| Full Name | DR. LAURA WHITE |
| Other Name | DR. LAURA WHITE |
| Credential | PSY.D. |
| Practice Address |
3896 Beverly Ave Ne Building J, Suite 40 Salem OR 97305-1374 |
| Mailing Address |
Po Box 190 Toppenish WA 98948-0190 |
| Practice Telephone | 5035880076 |
| Practice Fax Number | 5035880531 |
| Mailing Telephone | 5098652395 |
| Mailing Fax Number | 5098650757 |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2015-06-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 103T00000X | Psychologist | 2469 | OR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | MEDICARE | R177722 | 01 |
| OR | MEDICARE | R177723 | 01 |
| WA | 1306275847 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316555741 | Laura Ann White | Registered Nurse | 331 Plymouth St, Abington, MA 02351-1839 | 2020-07-22 |
| 1215585310 | Laura P White | Social Worker | 506 Hamburg Tpke Ste 203, Wayne, NJ 07470-2069 | 2019-09-01 |
| 1124481007 | Laura Maegan White | Dietitian, Registered | 3990 E U.S. Highway 64 Alternate, Murphy, NC 28906 | 2016-03-30 |
| 1407239726 | Laura White | Physical Therapist | 3101 N Hurstbourne Pkwy, Louisville, KY 40241-2208 | 2015-07-06 |
| 1043646508 | Laura Vianna White | Counselor | 45-1114 Haleloke Pl, Kaneohe, HI 96744-3101 | 2013-09-16 |
| 1114264991 | Laura Buck White | Chiropractor | 4582 Telegraph Rd, Saint Louis, MO 63129-3318 | 2013-01-13 |
| 1467732719 | Laura L White | Physical Therapy Assistant | 3223 Fleischmann Rd, Tallahassee, FL 32308-4570 | 2011-08-18 |
| 1396987855 | Laura Diane White | Chiropractor | 20041 W Valley Blvd, #2, Tehachapi, CA 93561-6746 | 2009-03-30 |
| 1508987132 | Laura White | Social Worker | 101 Ponquogue Ave, Hampton Bays, NY 11946-2503 | 2007-04-02 |
| 1083626436 | Laura White | Physician Assistant | 2001 Crystal Spring Ave Sw Ste 201, Roanoke, VA 24014-2465 | 2006-08-13 |
| Street Address |
3896 BEVERLY AVE NE BUILDING J, SUITE 40 |
| City | SALEM |
| State | OR |
| Zip Code | 97305-1374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760431464 | Jenny L Stegeman-olsen | Family Medicine | 3896 Beverly Ave Ne, Bldg J, Suite 40, Salem, OR 97305-1374 | 2006-05-09 |
| 1912358730 | Susannah Martell | Registered Nurse | 3896 Beverly Ave Ne, Bldg J, Suite 40, Salem, OR 97305-1374 | 2016-06-22 |
| 1043668940 | Erin Elizabeth Steiner | Nurse Practitioner | 3896 Beverly Ave Ne, Bldg J, Suite 40, Salem, OR 97305-1374 | 2016-06-01 |
| 1639570120 | Peter Bodmer | Physician Assistant | 3896 Beverly Ave Ne, Salem, OR 97305-1374 | 2014-09-16 |
| 1093056053 | Lauren Truxillo | Physician Assistant | 3896 Beverly Ave Ne, Bldg J, Suite 40, Salem, OR 97305-1374 | 2013-03-14 |
| 1376847012 | Vanessa B Lind | Physician Assistant | 3896 Beverly Ave Ne, Building J, Ste. 40, Salem, OR 97305-1374 | 2011-01-10 |
| 1992021745 | Leslie A Drapiza | Family Medicine | 3896 Beverly Ave Ne, Building J, Ste, Salem, OR 97305-1374 | 2010-04-19 |
| 1417273426 | Kathy Tran Shaw | Family Medicine | 3896 Beverly Ave Ne, Bldg J, Suite 40, Salem, OR 97305-1374 | 2010-04-15 |
| 1750538310 | Skye Gustin Waggoner | Physician Assistant | 3896 Beverly Ave Ne, Bldg J, Ste 40, Salem, OR 97305-1374 | 2008-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821639147 | Christine Ann Featherstone | Social Worker | Chemawa Indian Health Center, 3750 Chemawa Road, Salem, OR 97305 | 2019-10-08 |
| 1962996553 | Erin Ann Wakefield | Non-emergency Medical Transport (VAN) | 2425 Fisher Rd Ne, Salem, OR 97305 | 2018-06-18 |
| 1770002271 | Traci L Lee | Case Manager/Care Coordinator | 3876 Beverly Ave Bldg G, Salem, OR 97305 | 2017-09-15 |
| 1952825762 | Matthew Paul Martin | Dentist | 2737 Lancaster Dr Ne Ste 150, Salem, OR 97305 | 2017-08-02 |
| 1043750367 | Sherri King | Physical Therapy Assistant | 4696 Reimann St Ne, Salem, OR 97305 | 2017-03-06 |
| 1760861314 | Amara Lenore Peterson | Counselor | 4347 Sunnyview Rd Ne, Salem, OR 97305 | 2015-05-28 |
| 1720467954 | Heather Rose | Community Health Worker | 4347 Sunnyview Road Ne, Salem, OR 97305 | 2015-05-20 |
| 1588057004 | Carmen Heidecke | Counselor | 4347 Sunnyview Rd. Ne, Salem, OR 97305 | 2015-03-08 |
| 1629476825 | Bryan James Greenaway | Audiologist | 3857 Wolverine St Ne Ste C-16, Salem, OR 97305 | 2014-12-21 |
| 1710300322 | Christopher Ryan | Counselor | 4385 Sunnyview Road Ne, Salem, OR 97305 | 2014-02-03 |
| Find all providers in zip 97305 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619583408 | Kyleemillerphd | Psychologist | 586 Welcome Way Se, Salem, OR 97302-3932 | 2020-09-17 |
| 1275196016 | Brittany Evelyn St. Jean | Psychologist | 27 Meisner Rd, Salem, NH 03079-2707 | 2019-04-17 |
| 1689162323 | Joyce Ann Perrotta | Psychologist | 57 Federal St, Salem, MA 01970-3436 | 2018-04-27 |
| 1851888119 | Muriel Portugal Rivera | Psychologist | 7 Lyme St, Salem, MA 01970-4817 | 2018-04-21 |
| 1568839298 | Katherine Russell | Psychologist | 10 Federal Street, Suite 307, Salem, MA 01970-5402 | 2015-08-28 |
| 1962888388 | Carilyn Claire Ellis | Psychologist | 3857 Wolverine St Ne Ste 6, Salem, OR 97305-4274 | 2015-08-07 |
| 1528300399 | Cassandra Sieg | Psychologist | 454 17th St Ne, Salem, OR 97301-4223 | 2013-03-20 |
| 1821335613 | Key Rehabilitation,inc. | Psychologist | 35625 Highway 72, Salem, MO 65560-7217 | 2013-01-14 |
| 1700170818 | David Cory Brillhart | Psychologist | 189 Liberty St., Ne, Suite 210a, The Reed Opera House, Salem, OR 97301 | 2011-06-06 |
| 1659517431 | Gerald Mark Farber | Psychologist | 50 Freedom Holw Unit 218, Salem, MA 01970-6626 | 2008-12-26 |
| Find all providers in SALEM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.