James D Burns, PHD
Individual provider Active NPI Psychologist · Hart, MI
NPI 1295811263 · NPPES record last updated Mar 28, 2008
Key facts
- NPI
- 1295811263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 6301007308 (MI)
- Practice address
- 3604 W Lever Rd
Hart, MI 49420-9101 - Phone
- (231) 873-4545
- Fax
- (231) 873-4557
- NPI assigned
- Oct 31, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301007308 | MI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James D Burns, PHD | Psychologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6301007308 | MI | Yes |
Addresses
Primary practice location
3604 W Lever Rd
Hart, MI 49420-9101
Mailing address
3604 W Lever Rd
Hart, MI 49420-9101
Phone (231) 873-4545
Other providers in Hart, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.