Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacob Vaughn White, PHD

Individual provider Clinical Psychologist · NPI 1548735079

Jacob Vaughn White, PHD is a Clinical Psychologist in Traverse City, Michigan. Qualified in 2018, 8 years ago. Practices with Mary Free Bed Rehabilitation Hospital, a 132-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
8
Licensed in
MI
In the registry since
2018
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

3537 W Frnt Street Ste F
Traverse City, MI 49684
Phone: (231) 935-8900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 6301018202 (MI)

Record details

NPI number1548735079
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedOctober 11, 2018
Last updated in NPPESNovember 5, 2019
Mailing address3537 W. Front Street, Suite F, Traverse City, MI 49684

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Mary Free Bed Rehabilitation Hospital — 132 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Traverse City