Active NPI
Evan Reid Burdan, LMLP
- Clinical Psychologist
- Topeka, KS
National Provider Identifier
1366553315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1169
- Practice address
- 325 SW Frazier Ave
Topeka, KS 66606-1963 - Phone
- (785) 232-5005
- NPI assigned
- Aug 31, 2006
- Last updated
- May 19, 2009
- Sex
- Male
- 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 | 1169 | KS | Primary |
Addresses
Primary practice location
325 SW Frazier Ave
Topeka, KS 66606-1963
Mailing address
3831 SW Cambridge Ter
Topeka, KS 66610-1127
Phone (785) 267-6849
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1169 | KS | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242691200000",
"number": "1366553315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3831 SW CAMBRIDGE TER",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666101127",
"telephone_number": "785-267-6849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 SW FRAZIER AVE",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666061963",
"telephone_number": "785-232-5005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURDAN",
"first_name": "EVAN",
"middle_name": "REID",
"name_prefix": "Mr.",
"credential": "LMLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2009-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KS",
"license": "1169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Topeka, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.