Mary Michele Burnette, PH. D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

887 Issued in SC

Practice address

1898 Calhoun St
#5 Rainbow Row
Columbia, SC 29201-2612

Phone

(803) 233-9175

Fax

(803) 233-9177

NPI assigned

Oct 16, 2006

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. M. Michele Burnette Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467542795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1898 CALHOUN ST",
            "address_2": "#5 RAINBOW ROW",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012612",
            "telephone_number": "803-233-9175",
            "fax_number": "803-233-9177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1898 CALHOUN ST",
            "address_2": "#5 RAINBOW ROW",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012612",
            "telephone_number": "803-233-9175",
            "fax_number": "803-233-9177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNETTE",
        "first_name": "MARY",
        "middle_name": "MICHELE",
        "name_prefix": "Dr.",
        "credential": "PH. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "SC",
            "license": "887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "M.",
            "last_name": "BURNETTE",
            "middle_name": "MICHELE",
            "prefix": "DR.",
            "credential": "PH. D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jessica Joanne Burlew
• Lynn M Burnett, CCCA/SLP
• Sarah French Burnett, CCC-SLP, CERT AVT
• Walter Magill Burnett, PTA
• Carolyn Burnette, APRN
• Nicolette D Burnette, LISW
• Nola Covington Burnette, LISW-CP
• Marjorie Arlene Burniston, MOT, OTR/L
• Joan Marie Burns, DNP, APRN, PMHNP-BC
• Kendra Burns

• Psychologist in Columbia, SC
• Providers in Columbia, SC by specialty
• Psychologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.