JACOB VAUGHN WHITE PH.D.
NPI 1548735079
Psychologist - Clinical in Traverse City, MI

Active since October 11, 2018PECOS EnrolledAccepts Medicare Assignment
3537 W. FRONT STREET, SUITE F, TRAVERSE CITY, MI 49684(231) 935-8900 Get Directions Write a Review

NPPES record last updated: November 5, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 5, 2019, Oct 11, 2018 (2 updates tracked since 2018).

About Jacob Vaughn White Ph.d. NPPES

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

JACOB VAUGHN WHITE PH.D. (NPI 1548735079) is an individual clinical provider in Traverse City, Michigan, licensed in Michigan (6301018202) and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS, is affiliated with Munson Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1548735079
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameJACOB VAUGHN WHITECredential: PH.D.
Location Address3537 W. FRONT STREET, SUITE FTraverse City, MI 49684
Mailing Address3537 W. Front Street, Suite FTraverse City, MI 49684 · (231) 750-7045
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 11, 2018
Last NPPES UpdateNovember 5, 20192 updates tracked since enumeration
NPI 1548735079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in MI · 6301018202
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

3537 W. FRONT STREET, Traverse City, MI 49684

Accepted Insurance

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

Jacob Vaughn White Ph.d. 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 ID5294167466
PECOS Enrollment IDI20191111001625
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of psychological or neuropsychological test, each additional 30 minutes 96137
This procedure involves administering psychological or neuropsychological tests to evaluate your mental functions. Each additional 30 minutes allows for a more in-depth assessment of your cognitive abilities, emotions, and behavior. It's crucial for accurate diagnosis and treatment planning.
98 services45 patients
Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
71 services36 patients
Evaluation of neuropsychological test, each additional hour 96133
This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.
51 services41 patients
Administration of psychological or neuropsychological test, first 30 minutes 96136
This procedure involves a health professional conducting a psychological or neuropsychological test. The first 30 minutes typically involve understanding your mental health or brain function through various assessments. This helps in diagnosing and treating mental health disorders effectively.
45 services45 patients
Exam of neurobehavioral status, first hour 96116
An exam of neurobehavioral status is a medical procedure that evaluates your brain's functions. This includes assessing your cognitive abilities, emotional responses, and behavioral patterns. The first hour of the exam is typically dedicated to this initial evaluation.
44 services44 patients
Evaluation of neuropsychological test, first hour 96132
An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.
44 services44 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Munson Medical Center

Acute Care Hospitals · Traverse City, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230097
Location1105 Sixth StreetTraverse City, MI 49684 · Grand Traverse County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49684 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$166.68 typical visit price
range $54.34 – $166.68
Typical copayment $41.67 (range $13.58 – $41.67)
Most-billed visit code 99205
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Psychologist (Clinical)
3537 W. FRONT STREET, SUITE F
TRAVERSE CITY, MI 49684

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 Jacob White's NPI number?

The NPI number for Jacob White is 1548735079. It was assigned to this individual provider in the NPPES registry on October 11, 2018.

Where is Jacob White located?

Jacob White practices at 3537 W. Front Street Suite F, Traverse City, MI 49684. The listed phone number is (231) 935-8900.

What is Jacob White's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Jacob White enrolled in Medicare?

Yes. Jacob 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.

What insurance does Jacob White accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Jacob White as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jacob White affiliated with any hospitals?

According to CMS data, Jacob White is affiliated with Munson Medical Center.

When was this NPI record last updated?

The NPPES record for Jacob White was last updated on November 5, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.