Active NPI
Jamie Burnstein, MALLP
- Clinical Psychologist
- Sterling Heights, MI
National Provider Identifier
1407373988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301012071
- Practice address
- 43157 Schoenherr Rd
Sterling Heights, MI 48313-1955 - Phone
- (586) 997-9619
- Fax
- (586) 997-9635
- NPI assigned
- Aug 25, 2017
- Last updated
- Jul 24, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 | 6301012071 | MI | Primary |
Addresses
Primary practice location
43157 Schoenherr Rd
Sterling Heights, MI 48313-1955
Mailing address
1026 W Drayton St
Ferndale, MI 48220-2727
Phone (248) 891-1490
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 |
|---|---|---|---|
| 6301012071 | MI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563926400000",
"number": "1407373988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1026 W DRAYTON ST",
"city": "FERNDALE",
"state": "MI",
"postal_code": "482202727",
"telephone_number": "248-891-1490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43157 SCHOENHERR RD",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483131955",
"telephone_number": "586-997-9619",
"fax_number": "586-997-9635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNSTEIN",
"first_name": "JAMIE",
"name_prefix": "Mr.",
"credential": "MALLP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-08-25",
"last_updated": "2019-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301012071",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sterling Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.