NPIMap

Organization Active NPI

Burlington Behavioral Health, LLC

  • Clinical Psychologist
  • Burlington, WI
National Provider Identifier
1306079223
Registry record updated Aug 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
BURLINGTON BEHAVIORAL HEALTH, LLC
Practice address
565 Milwaukee Ave
Suite 3C
Burlington, WI 53105-1254
Phone
(262) 757-0016
Fax
(262) 757-0018
NPI assigned
Aug 26, 2009
Last updated
Aug 26, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2009

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

Authorized official

Name
Dr. Don Crowder, PH.D
Title
Clinical Psychologist
Phone
(262) 757-0016

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NU Primary
Clinical Social Worker 1041C0700X NU

Addresses

Primary practice location

565 Milwaukee Ave
Suite 3C
Burlington, WI 53105-1254

Mailing address

565 Milwaukee Ave
Suite 3C
Burlington, WI 53105-1254
Phone (262) 757-0016

National Provider Directory

National Provider Directory

Locations

565 Milwaukee Ave
Ste 3C
Burlington, WI 53105
Phone (262) 757-0016

Practitioners & affiliated clinicians

Practitioners 5

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": "1251244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251244800000",
    "number": "1306079223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 MILWAUKEE AVE",
            "address_2": "SUITE 3C",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531051254",
            "telephone_number": "262-757-0016",
            "fax_number": "262-757-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 MILWAUKEE AVE",
            "address_2": "SUITE 3C",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531051254",
            "telephone_number": "262-757-0016",
            "fax_number": "262-757-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURLINGTON BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-26",
        "last_updated": "2009-08-26",
        "status": "A",
        "authorized_official_last_name": "CROWDER",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "262-757-0016",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; 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.