KEITH B WHITE (PHD) – Clinical Psychologist, NPI 1427151646
Clinical Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,600 CLINICAL PSYCHOLOGIST in IL
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Provider Addresses for KEITH B WHITE (PHD)
Carle Foundation Hospital, 611, West Park Street, Urbana, Champaign County, Illinois, 61801, United States
BWPC
URBANA, IL 618012500
Phone: (217) 383-6792
Fax: (217) 383-4752
Type: Mailing
Carle Clinic - Curtis, 1701, West Curtis Road, Champaign, Champaign County, Illinois, 61822, United States
PSYCHOLOGY
CHAMPAIGN, IL 61822
Phone: (217) 365-6206
Fax: (217) 326-4003
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-05-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100521000472 | I | Clinical Psychologist | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90837 | Psychotherapy, 1 hour | 151 | 26 | $0 |
| 90791 | Psychiatric diagnostic evaluation | 25 | 25 | $0 |
Insurance plans in this area (ZIP 61801)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| G A S T R O E N T E R O L O G Y | IL | |
| Nurse Practitioner | IL | |
| Clinical Psychologist | IL | |
| Nurse Practitioner | IL | |
| - | FL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| P O D I A T R Y | IL | |
| Hospitalist, Family Practice | TX | |
| - | IL |
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