MR. TERRELL JENSEN WHITE (NPI# 1801301932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801301932 |
| Entity Type | Individual |
| Full Name | MR. TERRELL JENSEN WHITE |
| Other Name | MR. TERRY JENSEN WHITE |
| Credential | LMFT |
| Practice Address |
2511 School St Ballard CA 93463 |
| Practice Telephone | 8054511337 |
| Mailing Telephone | 8054511337 |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2020-08-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
LMFT29341 | CA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | LMFT29341 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE LICENSE | LMFT29341 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447885983 | Terrell White | Behavior Technician | 9920 Pacific Heights Blvd, Suite 150, San Diego, CA 92121-4396 | 2020-03-05 |
| 1376503797 | Terrell Hilda White | Psychiatry & Neurology | 15 Medical Park Rd, Suite 103, Columbia, SC 29203-8003 | 2006-03-28 |
| Street Address |
2511 SCHOOL ST |
| City | BALLARD |
| State | CA |
| Zip Code | 93463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811470560 | Beverly Raff | Marriage & Family Therapist | 2927 Deertrail Place, Solvang, CA 93463 | 2018-09-10 |
| 1659857928 | Elite Eyecare Medical Group A Medical Corporation | Eyewear Supplier (Equipment, not the service) | 2040 Viborg Rd Ste 240, Solvang, CA 93463 | 2018-07-19 |
| 1578928297 | Nikki Thibault | Counselor | 1693 Mission Dr # 204, Solvang, CA 93463 | 2015-12-22 |
| 1720423882 | Eric Michael Bank | Internal Medicine | 2040 Viborg Rd Ste 140, Solvang, CA 93463 | 2013-05-02 |
| 1295002434 | Santa Ynez Band of Mission Indians | Community/Behavioral Health | 680 Alamo Pintado Ste 202, Solvang, CA 93463 | 2011-11-16 |
| 1427363027 | John H Adams | Hearing Instrument Specialist | 2027 Village Ln. #204, Solvang, CA 93463 | 2010-08-09 |
| 1548442890 | Steven Wayne Lutzker | Dermatology | 2027 Village Lane, Suite 101, Solvang, CA 93463 | 2007-11-28 |
| 1548463938 | Jean Lorraine Seamount | Dentist | 511 Fifth St, Solvang, CA 93463 | 2007-06-06 |
| 1518179472 | Santa Ynez Valley People Helping People | Community/Behavioral Health | 545 N Alisal Road, Solvang, CA 93463 | 2007-05-04 |
| 1063638393 | Jerry D. Merrell | Dentist | 2028 Village Lane, #101, Solvang, CA 93463 | 2007-04-17 |
| Find all providers in zip 93463 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
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| 1164023867 | Watson, Sanchez, & Navarro Psychological Group | Psychologist | 270 E 7th St Ste 1c, Upland, CA 91786-6602 | 2020-11-08 |
| 1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
| 1982203568 | Gautami Polepally Ashok | Psychologist | 1234 W Chapman Ave Ste 203, Orange, CA 92868-2863 | 2020-10-23 |
| 1851990626 | Sarah R Martin | Psychologist | 650 Charles E Young Dr S # 12-096, Los Angeles, CA 90095-8347 | 2020-10-22 |
| 1184223851 | Emily Jenchura | Psychologist | 11301 Wilshire Blvd (116b, Rm. A-130), Los Angeles, CA 90073 | 2020-10-22 |
| 1588261580 | Pamela J Newman | Psychologist | 3737 Elderberry Gln, Escondido, CA 92025-7910 | 2020-10-04 |
| 1689271785 | Michelle Sullivan | Psychologist | 2419 44th Ave, San Francisco, CA 94116-2062 | 2020-10-02 |
| 1184231730 | Joanna Lesley Kaye | Psychologist | 3555 Rosecrans St Ste 114-212, San Diego, CA 92110-3231 | 2020-09-28 |
| 1174130181 | Pamela F. Benyas | Psychologist | Dr. Pamela Benyas, 4419 Vans Nuys Bl #400, Sherman Oaks, CA 91403 | 2020-09-24 |
| 1730795634 | Maya Boustani | Psychologist | 5441 Dundee Ct, Rancho Cucamonga, CA 91739-2604 | 2020-09-17 |
| Find all providers with the same taxonomy | ||||
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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.