Active NPI
J Thomas Burns, PHD
- Clinical Psychologist
- Cerritos, CA
National Provider Identifier
1164592788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY7004
- Practice address
- 18000 Studebaker Rd
Suite 700
Cerritos, CA 90703-2684 - Phone
- (562) 467-8944
- Fax
- (562) 924-1804
- NPI assigned
- Nov 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY7004 | CA | Primary |
Addresses
Primary practice location
18000 Studebaker Rd
Suite 700
Cerritos, CA 90703-2684
Mailing address
18000 Studebaker Rd
Suite 700
Cerritos, CA 90703-2684
Phone (562) 467-8944
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120119000661 | CA | Practitioner - Clinical Psychologist | 7517134331 | Practice locations: Los Alamitos, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Saint Louis University School of Medicine, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Los Alamitos, CA 90720
Phone (562) 467-8944
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY7004 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164592788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18000 STUDEBAKER RD",
"address_2": "SUITE 700",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907032684",
"telephone_number": "562-467-8944",
"fax_number": "562-924-1804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18000 STUDEBAKER RD",
"address_2": "SUITE 700",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907032684",
"telephone_number": "562-467-8944",
"fax_number": "562-924-1804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNS",
"first_name": "J",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY7004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cerritos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.