MRS. CORISSA LORRAINE WHITE M.A.
NPI 1235577925
Psychologist in Berkeley, CA

Active since June 05, 2013PECOS EnrolledAccepts Medicare Assignment
2712 TELEGRAPH AVE, BERKELEY, CA 94705(510) 548-8283 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Corissa Lorraine White M.a. NPPES

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

MRS. CORISSA LORRAINE WHITE M.A. (NPI 1235577925) is an individual psychologist in Berkeley, California and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1235577925
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMRS. CORISSA LORRAINE WHITECredential: M.A.
Location Address2712 TELEGRAPH AVEBerkeley, CA 94705-1117
Mailing Address2712 Telegraph AveBerkeley, CA 94705-1117 · (510) 548-8283
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 5, 2013
Last NPPES UpdateJanuary 3, 2022
NPI 1235577925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
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.
2712 TELEGRAPH AVE, Berkeley, CA 94705

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Corissa Lorraine White M.a. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890047245
PECOS Enrollment IDI20181011002939
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
2712 TELEGRAPH AVE
BERKELEY, CA 94705
Student in an Organized Health Care Education/Training Program
2712 TELEGRAPH AVE
BERKELEY, CA 94705
Student in an Organized Health Care Education/Training Program
2712 TELEGRAPH AVE
BERKELEY, CA 94705
Student in an Organized Health Care Education/Training Program
2712 TELEGRAPH AVE
BERKELEY, CA 94705
Student in an Organized Health Care Education/Training Program
2712 TELEGRAPH AVE
BERKELEY, CA 94705
Student in an Organized Health Care Education/Training Program
2712 TELEGRAPH AVE
BERKELEY, CA 94705
Counselor (Mental Health)
2712 TELEGRAPH AVE
BERKELEY, CA 94705
Student in an Organized Health Care Education/Training Program
2712 TELEGRAPH AVE
BERKELEY, CA 94705

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 Corissa White's NPI number?

The NPI number for Corissa White is 1235577925. It was assigned to this individual provider in the NPPES registry on June 5, 2013.

Where is Corissa White located?

Corissa White practices at 2712 Telegraph Ave, Berkeley, CA 94705. The listed phone number is (510) 548-8283.

What is Corissa White's specialty?

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

Is Corissa White enrolled in Medicare?

Yes. Corissa White is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Corissa White was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.