NPIMap

Organization Active NPI

C. Emma Burrous, PH.D., PLC

  • Clinical Psychologist
  • Burlington, VT
National Provider Identifier
1013264498
Registry record updated Aug 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
048-0000905 Issued in VT
Legal business name
C. EMMA BURROUS, PH.D., PLC
Practice address
118 Pine St
Burlington, VT 05401-8421
Phone
(802) 657-4042
Fax
(802) 862-4062
NPI assigned
Aug 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
C. Emma Burrous, PH.D.
Title
Owner
Phone
(802) 657-4042

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 048-0000905 VT Primary

Addresses

Primary practice location

118 Pine St
Burlington, VT 05401-8421

Mailing address

118 Pine St
Burlington, VT 05401-8421
Phone (802) 657-4042

National Provider Directory

National Provider Directory

Locations

118 Pine St
Burlington, VT 05401
Phone (802) 658-2767

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1344124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344124800000",
    "number": "1013264498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 PINE ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054018421",
            "telephone_number": "802-657-4042",
            "fax_number": "802-862-4062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 PINE ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054018421",
            "telephone_number": "802-657-4042",
            "fax_number": "802-862-4062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C. EMMA BURROUS, PH.D., PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-05",
        "last_updated": "2012-08-05",
        "status": "A",
        "authorized_official_last_name": "BURROUS",
        "authorized_official_first_name": "C.",
        "authorized_official_middle_name": "EMMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-657-4042",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "VT",
            "license": "048-0000905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.