Organization Active NPI

William a. Burkhart PHD LLC

  • Clinical Psychologist
  • Shoreline, WA
National Provider Identifier
1164940144
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY00001203 Issued in WA
Legal business name
WILLIAM A. BURKHART PHD LLC
Practice address
20056 19TH Ave NE
Shoreline, WA 98155-1211
Phone
(206) 365-1435
Fax
(206) 365-1428
NPI assigned
Aug 30, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Lee Farley
Title
Office/Account MGR
Phone
(206) 365-1435

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY00001203 WA Primary

Addresses

Primary practice location

20056 19TH Ave NE
Shoreline, WA 98155-1211

Mailing address

20056 19TH Ave NE
Shoreline, WA 98155-1211
Phone (206) 365-1435

National Provider Directory

National Provider Directory

Locations

20056 19th Ave NE
Shoreline, WA 98155
Phone (205) 365-1435

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1164940144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20056 19TH AVE NE",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981551211",
            "telephone_number": "206-365-1435",
            "fax_number": "206-365-1428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20056 19TH AVE NE",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981551211",
            "telephone_number": "206-365-1435",
            "fax_number": "206-365-1428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM A. BURKHART PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FARLEY",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "OFFICE/ACCOUNT MGR",
        "authorized_official_telephone_number": "206-365-1435",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY00001203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shoreline, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.