Active NPI
William a. Burkhart PHD LLC
- Clinical Psychologist
- Shoreline, WA
National Provider Identifier
1164940144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY00001203
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Cognitive & Behavioral Psychologist
- Cave Creek, AZ
- NPI 1073688586
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.