Eve Helen Burkhardt, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

003787-1 Issued in NY

Practice address

403 Russell Ave
5G
Gaithersburg, MD 20877-2819

Phone

(301) 216-5837

Fax

(301) 216-5834

NPI assigned

Mar 25, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Eve Helen Lazar Former name

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": "1301011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301011200000",
    "number": "1437458700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 RUSSELL AVE",
            "address_2": "5G",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772819",
            "telephone_number": "301-216-5837",
            "fax_number": "301-216-5834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 RUSSELL AVE",
            "address_2": "5G",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772819",
            "telephone_number": "301-216-5837",
            "fax_number": "301-216-5834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKHARDT",
        "first_name": "EVE",
        "middle_name": "HELEN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-25",
        "last_updated": "2011-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "003787-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EVE",
            "last_name": "LAZAR",
            "middle_name": "HELEN",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Anna Lee Burns, PH.D., BCBA-D, LBA
• Michael Charles Lee Burns
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• Clinical Psychologist in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Clinical Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2011; 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.