DEREK L WHITE (NPI# 1841452810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841452810 |
| Entity Type | Individual |
| Full Name | DEREK L WHITE |
| Credential | PSYCH ASSOC |
| Practice Address |
4615 Government St Building 2 Baton Rouge LA 70806-5820 |
| Practice Telephone | 2259250445 |
| Practice Fax Number | 2259251987 |
| Mailing Telephone | 2259250445 |
| Mailing Fax Number | 2259251987 |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2008-06-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598385072 | Derek White | Specialist/Technologist | 520 E Main St Apt Suite, Carmel, IN 46032-2259 | 2020-04-24 |
| 1992215354 | Derek Lee White | Nurse Practitioner | 385 Old Troy Rd, Monticello, AR 71655-9181 | 2017-10-11 |
| 1952436578 | Derek Alan White | Pharmacist | 841 S State Rd, Davison, MI 48423-1751 | 2007-02-22 |
| 1063013365 | Derek White | Pharmacist | Walmart Pharmacy, 1123 Highway 79-167 Bypass, Fordyce, AR 71742 | 2020-11-03 |
| 1063023497 | Derek Stephen White | Behavior Technician | 1055 E Colorado Blvd Ste 560, Pasadena, CA 91106-2380 | 2020-08-10 |
| 1619497294 | Derek Wayne White Jr. | Family Medicine | 613 Campus Dr Ste 200, Abingdon, VA 24210-9703 | 2017-06-23 |
| 1851708523 | Derek Wayne White | Pharmacist | 300 Towne Center Dr, Abingdon, VA 24210-3248 | 2014-07-15 |
| 1134494404 | Derek L White | Nurse Anesthetist, Certified Registered | 5731 Bee Ridge Rd, Sarasota, FL 34233-5056 | 2012-03-20 |
| 1417083064 | Derek Omar White | Physical Therapist | 50 E 9000 S, Sandy, UT 84070-2201 | 2007-02-26 |
| 1710025382 | Derek William White | Pharmacist | 1886 Homeville Rd, Inside Foodland Fresh, West Mifflin, PA 15122-3650 | 2007-02-03 |
| Street Address |
4615 GOVERNMENT ST BUILDING 2 |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70806-5820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306921697 | Carol Everhart Moise | Social Worker | 4615 Government St, Building 2, Baton Rouge, LA 70806-5922 | 2006-10-26 |
| 1508423187 | Holly Elizabeth Smith | Counselor | 4615 Government St, Baton Rouge, LA 70806-5922 | 2019-05-20 |
| 1932763513 | Ashlyn Ludwig Crosby | Nurse Practitioner | 4615 Government St, Baton Rouge, LA 70806-5922 | 2019-04-29 |
| 1841714466 | Deshawnna J Hitchens | Social Worker | 4615 Government St, Baton Rouge, LA 70806-5922 | 2017-07-26 |
| 1447788153 | Melanie Johnson Griffin | Pharmacist | 4615 Government St, Baton Rouge, LA 70806-5922 | 2017-05-24 |
| 1679010425 | Keisha Lacour | Counselor | 4615 Government St, Building 2, Baton Rouge, LA 70806-5922 | 2017-01-31 |
| 1710424569 | Lori Stone | Counselor | 4615 Government St, Building 2, Baton Rouge, LA 70806-5922 | 2017-01-31 |
| 1174060925 | Ivan Toldson | Counselor | 4615 Government St, Building 2, Baton Rouge, LA 70806-5922 | 2017-01-31 |
| 1801333695 | Samuel Washington | Counselor | 4615 Government St, Building 2, Baton Rouge, LA 70806-5922 | 2017-01-31 |
| 1245774488 | Sherry Verdel | Counselor | 4615 Government St, Building 1, Baton Rouge, LA 70806-5922 | 2016-12-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467064790 | Horizon Network LLC | Community/Behavioral Health | 921 Lobdell Blvd Suite D, Baton Rouge, LA 70806 | 2020-08-18 |
| 1093324220 | Raghu Rudraraju | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard Baton Rouge General Mid City Medi, Suite 130, Baton Rouge, LA 70806 | 2020-07-23 |
| 1619595584 | Brown's Pharmacy, LLC | Pharmacy | 1718 North Foster Drive, Suite B, Baton Rouge, LA 70806 | 2020-07-08 |
| 1497374847 | Yara Mouawad | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Suite 130, Baton Rouge, LA 70806 | 2020-04-15 |
| 1396364527 | Sai Samyuktha Bandaru | Student in an Organized Health Care Education/Training Program | Brg Mid City Medicine Clinic, 3401 North Boulevard, Sui, Baton Rouge, LA 70806 | 2020-04-08 |
| 1588299812 | Iraneeka S Gustave | Peer Specialist | Kelwood Ave, 8326 Kelwood Ave, Baton Rouge, LA 70806 | 2020-03-06 |
| 1518522192 | Silpita Katragadda | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Brg Midcity Medicine Clinic, Suite 130, Baton Rouge, LA 70806 | 2019-05-08 |
| 1437713997 | Dental Solutions, LLC | Dentist | 5629 Government St, Baton Rouge, LA 70806 | 2019-04-30 |
| 1699249516 | Shea Lafountain | Counselor | 624 Connell's Park Lane, Baton Rouge, LA 70806 | 2019-01-14 |
| 1033682802 | Genesis Specialty Groups, LLC | Clinic/Center | 778 Chevelle Drive, Baton Rouge, LA 70806 | 2019-01-04 |
| Find all providers in zip 70806 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871089763 | Gulf South Br - Aba, LLC | Psychologist | 9063 Siegen Ln Ste A, Baton Rouge, LA 70810 | 2018-07-03 |
| 1982830790 | Karen R. Sheridan | Psychologist | 4615 Government St, Baton Rouge, LA 70806-5922 | 2009-06-08 |
| 1467691303 | James A Vanhook | Psychologist | 4615 Government St, Bldg 1, Baton Rouge, LA 70806-5820 | 2009-02-17 |
| 1073712618 | Bianchini-frey, LLC | Psychologist | 9118 Bluebonnet Centre Blvd, Baton Rouge, LA 70809-2975 | 2007-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750928693 | Adrianne M Brennan Phd | Psychologist | 110 James Dr W, Saint Rose, LA 70087-4027 | 2019-12-10 |
| 1972758639 | Adrianne M Brennan | Psychologist | 433 Metairie Rd Ste 615, Metairie, LA 70005-4326 | 2008-11-22 |
| 1760647663 | William E Fowler | Psychologist | 309 Crystal St, New Orleans, LA 70124-2619 | 2008-07-21 |
| 1598926644 | Jerald W Bamburg Jr. | Psychologist | 106 N Bend Dr, Pineville, LA 71360-4677 | 2008-06-20 |
| 1548456189 | Courtney N. Baker | Psychologist | 6400 Freret St, Psychology Dept., 2007 Percival Stern Hall, New Orleans, LA 70118-5636 | 2007-09-18 |
| 1497895262 | Mercy Family Center | Psychologist | 110 Veterans Memorial Blvd., Suite 425, Metairie, LA 70005-4959 | 2007-02-08 |
| 1447310289 | Peter Clark | Psychologist | 203 W 21st Ave, Covington, LA 70433-3151 | 2006-12-11 |
| 1063473213 | Claire Dianne Peebles | Psychologist | 4517 Lorino St, Metairie, LA 70006-2323 | 2006-03-29 |
| 1831750645 | Kasia Plessy | Psychologist | 1430 Tulane Ave # 8055, New Orleans, LA 70112-2632 | 2019-06-23 |
| 1114588142 | Jamil Monique Gilliam | Psychologist | 1430 Tulane Ave # 8055, New Orleans, LA 70112-2632 | 2019-06-20 |
| Find all providers with the same taxonomy | ||||
| City | BATON ROUGE |
| Zip Code | 70806 |
Please comment or provide details below to improve the information on DEREK L WHITE.
| 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.