Active NPIIndividual provider

Chantal White

Nurse Practitioner, Psych/Mental Health in Newark, New Jersey

NPI Number1134012404
Practice location
550 Broad St Ste 606, Newark, NJ 07102-4537
Fax
—
Last updated
June 5, 2026

Chantal White is a Nurse Practitioner, Psych/Mental Health based in Newark, NJ. Chantal White practices in Newark, NJ. The NPI Number for Chantal White is 1134012404 and holds a License No. 26NR16382000 (NJ). The current practice location address for Chantal White is 550 Broad St Ste 606, Newark, NJ 07102-4537 and can be reached out via phone at 201-822-1161.

Provider Profile Details

NPI Number
1134012404
Provider Name
Chantal White
Provider Entity Type
Individual
Gender
Female
Address
550 Broad St Ste 606, Newark, NJ 07102-4537
Phone Number
201-822-1161
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
June 3, 2025
Last Update Date
June 5, 2026
Certification Date
June 5, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
550 Broad St Ste 606
Newark, NJ 07102-4537
City
Newark
Zip
07102-4537
Phone Number
201-822-1161
Newark, NJ 07102Get directions →

Provider Business Mailing Address Details

Address
29 Norwood Pl
Bloomfield, NJ 07003-4013
City
Bloomfield
State
NJ
Zip
07003-4013

License Information

License Number (1)
26NR16382000
License State (1)
NJ
Taxonomy (1)
Nurse Practitioner, Psych/Mental Health · 363LP0808X
License Number (2)
26NJ15481900
License State (2)
NJ
Taxonomy (2)
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Chantal White?

The NPI number of Chantal White is 1134012404. It was assigned on June 3, 2025 and is currently active in the NPPES registry.

What is the specialty of Chantal White?

Chantal White is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NJ under license number 26NR16382000.

Where does Chantal White practice?

The practice location is 550 Broad St Ste 606, Newark, NJ 07102-4537. The office can be reached at 201-822-1161 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134012404 directly on the NPPES registry website.

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