MARK WHITE, PH.D., P.A.
NPI 1194027045
Psychologist in Manasquan, NJ

Active since November 29, 2010
2517 HIGHWAY 35, BUILDING J, SUITE 101, MANASQUAN, NJ 08736(732) 528-7844(732) 528-0040 Get Directions Write a Review

NPPES record last updated: December 16, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mark White, Ph.d., P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK WHITE, PH.D., P.A. (NPI 1194027045) is a healthcare organization registered as a psychologist in Manasquan, New Jersey and active in the NPI registry since November 2010. The organization lists Mark White, Licensed Psychologist, as its authorized official.

NPPES Registry Identity

NPI1194027045
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameMARK WHITE, PH.D., P.A.
Location Address2517 HIGHWAY 35, BUILDING J, SUITE 101Manasquan, NJ 08736-1918
Mailing Address2517 Highway 35, Building J, Suite 101Manasquan, NJ 08736-1918 · (732) 528-7844 · Fax (732) 528-0040
Fax(732) 528-0040
Organization SubpartNo
Authorized OfficialMark WhiteLicensed Psychologist · (732) 528-7844
Enumeration DateNovember 29, 2010
Last NPPES UpdateDecember 16, 2010
✔ NPI 1194027045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in NJ · 35SI00156500
Definition
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.
2517 HIGHWAY 35, Manasquan, NJ 08736

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark White, Ph.d., P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew JerseyEnrollment IDO20101220000807Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mark White, Ph.D., P.A., which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1205956711
2517 HIGHWAY 35 BUILDING J, SUITE 101
Manasquan, NJ 08736
(732) 528-7844
✔ PECOS✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark White, Ph.D., P.A.'s NPI number?

The NPI number for Mark White, Ph.D., P.A. is 1194027045. It was assigned to this organization in the NPPES registry on November 29, 2010.

Where is Mark White, Ph.D., P.A. located?

Mark White, Ph.D., P.A. is located at 2517 Highway 35 Building J, Suite 101, Manasquan, NJ 08736. The listed phone number is (732) 528-7844.

What is Mark White, Ph.D., P.A.'s specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Mark White, Ph.D., P.A. enrolled in Medicare?

Yes. Mark White, Ph.D., P.A. is registered in the Medicare PECOS enrollment system.

When is Mark White, Ph.D., P.A.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Mark White, Ph.D., P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Mark White, Ph.D., P.A.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mark White, Ph.D., P.A. was last updated on December 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.