NPIMap

Organization Active NPI

Robert K. Burlingame, M.D., P.C.

  • Psychiatry Physician
  • Vancouver, WA
National Provider Identifier
1073900403
Registry record updated Apr 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
00027023 Issued in WA
Legal business name
ROBERT K. BURLINGAME, M.D., P.C.
Practice address
100 E 13TH St
Suite 101
Vancouver, WA 98660-3326
Phone
(360) 256-3686
Fax
(360) 694-4681
NPI assigned
Apr 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2015

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

Authorized official

Name
Dr. Robert Kelley Burlingame, M.D.
Title
President/Owner
Phone
(360) 256-3686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 00027023 WA Primary

Addresses

Primary practice location

100 E 13TH St
Suite 101
Vancouver, WA 98660-3326

Mailing address

PO Box 2129
Vancouver, WA 98668-2129
Phone (360) 256-3686

National Provider Directory

National Provider Directory

Locations

100 E 13th St
Ste 101
Vancouver, WA 98660
Phone (360) 256-3686

NPI Registry JSON

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

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429747200000",
    "number": "1073900403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2129",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986682129",
            "telephone_number": "360-256-3686",
            "fax_number": "360-694-4681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E 13TH ST",
            "address_2": "SUITE 101",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603326",
            "telephone_number": "360-256-3686",
            "fax_number": "360-694-4681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT K. BURLINGAME, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-23",
        "last_updated": "2015-04-23",
        "status": "A",
        "authorized_official_last_name": "BURLINGAME",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "KELLEY",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "360-256-3686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "00027023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2015; 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.