Jeannette Burkhardt Pino, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

22668 Issued in CA

Practice address

3300 Irvine Ave
Suite 111
Newport Beach, CA 92660-3109

Phone

(949) 278-3414

NPI assigned

Aug 31, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1251676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376006400000",
    "number": "1417180928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6526",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926166526",
            "telephone_number": "949-278-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 IRVINE AVE",
            "address_2": "SUITE 111",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926603109",
            "telephone_number": "949-278-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKHARDT PINO",
        "first_name": "JEANNETTE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-31",
        "last_updated": "2013-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "22668",
            "primary": true
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "CA",
            "license": "22668",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• VI Burgan, NP
• Damien Johann Burgess, D.C., APRN, NP-C
• Josie Ann Burgess
• Erin Ivorie Burgos
• Anne Marie Burkel, PA-C
• Daniel L. Burkhead, D.D.S.
• Elizabeth Anne Burklee, D.C.
• Sarah Burney, LCSW
• Robert Gertmenian Burns, M.D.
• Adrienne M Burr, LCSW

• Clinical Psychologist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2013; 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.