Dr Blake F White Jr, PHD - Psychologist in Albuquerque, NM

Dr Blake F White Jr, PHD is a Psychologist - Prescribing (medical) based in Albuquerque, New Mexico. Dr Blake F White Jr is licensed to practice in New Mexico (license number 0033) and his current practice location is 5623 Bosque Vista Dr Ne, Albuquerque, New Mexico. He can be reached at his office (for appointments etc.) via phone at (505) 917-3862.

NPI number for Dr Blake F White Jr is 1255465886 and his current mailing address is 5623 Bosque Vista Dr Ne, Albuquerque, New Mexico. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1255465886.

Contact Information

Dr Blake F White Jr, PHD
5623 Bosque Vista Dr Ne,
Albuquerque, NM 87111-8067
(505) 917-3862
Not Available



Healthcare Provider's Profile

Full NameDr Blake F White Jr
GenderMale
SpecialityPsychologist - Prescribing (medical)
Location5623 Bosque Vista Dr Ne, Albuquerque, New Mexico
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1255465886
  • Provider Enumeration Date: 03/15/2007
  • Last Update Date: 03/31/2014

Medical Identifiers

Medical identifiers for Dr Blake F White Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255465886NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 213 (New Mexico)Secondary
103TP0016XPsychologist - Prescribing (medical) 0033 (New Mexico)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Blake F White Jr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Blake F White Jr, PHD
5623 Bosque Vista Dr Ne,
Albuquerque, NM 87111-8067

Ph: (505) 917-3862
Dr Blake F White Jr, PHD
5623 Bosque Vista Dr Ne,
Albuquerque, NM 87111-8067

Ph: (505) 917-3862

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› Verified 4 days ago


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