Healthcare Provider Details

I. General information

NPI: 1376452870
Provider Name (Legal Business Name): DR. DIONNE HAWKINS-WHITE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 5TH AVE
NEW YORK NY
10017-6107
US

IV. Provider business mailing address

1180 RAYMOND BLVD APT 28C
NEWARK NJ
07102-4112
US

V. Phone/Fax

Practice location:
  • Phone: 212-271-0216
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: