| Jacob White Ph.d., Pllc | |
|
3537 W. Front Street Suite F Traverse City MI 49684 | |
| (231) 935-8900 | |
| (231) 935-8901 |
| Full Name | Jacob White Ph.d., Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 3537 W. Front Street, Traverse City, Michigan |
| Authorized Official Name and Position | Jacob White (SOLE MEMBER) |
| Authorized Official Contact | 2319358900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob White Ph.d., Pllc 3537 W. Front Street Suite F Traverse City MI 49684 Ph: (231) 935-8900 | Jacob White Ph.d., Pllc 3537 W. Front Street Suite F Traverse City MI 49684 Ph: (231) 935-8900 |
| NPI Number | 1881178325 |
|---|---|
| Provider Enumeration Date | 09/20/2018 |
| Last Update Date | 09/20/2018 |
| Medicare PECOS PAC ID | 4385076553 |
|---|---|
| Medicare Enrollment ID | O20191111000893 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881178325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jacob Vaughn White |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548735079 PECOS PAC ID: 5294167466 Enrollment ID: I20191111001625 |
| Provider Name | Sabrina Louise Sylvain |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891442976 PECOS PAC ID: 4385080696 Enrollment ID: I20240308002618 |
Katharine Westie Phd Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3537 W Front St, Suite F, Traverse City, MI 49684 Phone: 231-632-4282 | |
E. A. Austin Do Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 S Madison St, Traverse City, MI 49684 Phone: 231-946-0911 Fax: 231-935-0343 | |
Kelly K Greene Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 921 W 11th St Ste 1w, Traverse City, MI 49684 Phone: 231-929-9040 Fax: 231-929-5586 | |
Pintar Psychological Services, Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 12719 S West Bay Shore Dr, Suite #9, Traverse City, MI 49684 Phone: 231-714-7054 Fax: 231-943-1032 | |
Senior Outreach Services Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4996 Ridgewood Rd, Traverse City, MI 49686 Phone: 800-671-1767 | |
Mindspot Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4833 Silver Pines Road, Traverse City, MI 49685 Phone: 231-538-2046 | |
Engel Mind Body Psychiatry Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4620 N Us Highway 31 N, Traverse City, MI 49686 Phone: 231-938-2010 Fax: 231-938-2012 |