Active NPI
Angela Burcham, PSY.D.
- Clinical Psychologist
- Nashville, TN
National Provider Identifier
1225301666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2033
- Practice address
- 1310 24TH Ave S
Nashville, TN 37212-2637 - Phone
- (615) 873-6168
- NPI assigned
- Feb 15, 2012
- Sex
- Female
- 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 | 2033 | KS | Primary |
Addresses
Primary practice location
1310 24TH Ave S
Nashville, TN 37212-2637
Mailing address
3914 Westlawn Dr
Nashville, TN 37209-4958
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694649600000",
"number": "1225301666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3914 WESTLAWN DR",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372094958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 24TH AVE S",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372122637",
"telephone_number": "615-873-6168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURCHAM",
"first_name": "ANGELA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-15",
"last_updated": "2023-09-14",
"certification_date": "2023-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KS",
"license": "2033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.