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JACOB WHITE PH.D., PLLC
NPI 1881178325
Psychologist - Clinical in Traverse City, MI

Active since September 20, 2018
3537 W. FRONT STREET, SUITE F, TRAVERSE CITY, MI 49684(231) 935-8900(231) 935-8901 Get Directions Write a Review

NPPES record last updated: September 20, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jacob White Ph.d., Pllc NPPES

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

JACOB WHITE PH.D., PLLC (NPI 1881178325) is a healthcare organization registered as a clinical in Traverse City, Michigan and active in the NPI registry since September 2018. The organization lists Jacob White, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1881178325
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameJACOB WHITE PH.D., PLLC
Location Address3537 W. FRONT STREET, SUITE FTraverse City, MI 49684
Mailing Address3537 W. Front Street, Suite FTraverse City, MI 49684 · (231) 935-8900 · Fax (231) 935-8901
Phone(231) 935-8900
Fax(231) 935-8901
Organization SubpartNo
Authorized OfficialJacob WhiteSole Member · (231) 935-8900
Enumeration DateSeptember 20, 2018
✔ NPI 1881178325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
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
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob White Ph.d., Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Jacob White Ph.D., PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Jacob White, PH.D.
Clinical Psychologist
NPI 1548735079
3537 W. FRONT STREET SUITE F
Traverse City, MI 49684
(231) 935-8900
✔ PECOS✔ Accepts MedicareSame address
Sabrina Sylvain
Mental Health Counselor
NPI 1891442976
211 SINCLAIR ST
Midland, MI 48640
(989) 430-2065
✔ PECOS105 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 Jacob White Ph.D., PLLC's NPI number?

The NPI number for Jacob White Ph.D., PLLC is 1881178325. It was assigned to this organization in the NPPES registry on September 20, 2018.

Where is Jacob White Ph.D., PLLC located?

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

What is Jacob White Ph.D., PLLC's specialty?

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

Is Jacob White Ph.D., PLLC enrolled in Medicare?

Yes. Jacob White Ph.D., PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jacob White Ph.D., PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Jacob White Ph.D., PLLC, in Clinical Psychologist and Mental Health Counselor. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Jacob White Ph.D., PLLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Jacob White Ph.D., PLLC 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.

When was this NPI record last updated?

The NPPES record for Jacob White Ph.D., PLLC was last updated on September 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.