Active NPI
Charles Andrew Burch, PH.D.
- Clinical Social Worker
- Farmington Hills, MI
National Provider Identifier
1518110873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801014861
- Practice address
- 29994 Northwestern Hwy
Suite I
Farmington Hills, MI 48334-3225 - Phone
- (248) 855-5554
- Fax
- (248) 851-8698
- NPI assigned
- Oct 30, 2008
- 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 Social Worker | 1041C0700X | 6801014861 | MI | Primary |
Addresses
Primary practice location
29994 Northwestern Hwy
Suite I
Farmington Hills, MI 48334-3225
Mailing address
29994 Northwestern Hwy
Suite I
Farmington Hills, MI 48334-3225
Phone (248) 855-5554
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08977890 | Other | MI | BLUE CROSS/BLUE SHIELD OF MICHIGAN PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2025 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801014861 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Burch Hildebrandt PC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Ann Arbor, MI
- NPI 1932315397
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225324800000",
"number": "1518110873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29994 NORTHWESTERN HWY",
"address_2": "SUITE I",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483343225",
"telephone_number": "248-855-5554",
"fax_number": "248-851-8698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29994 NORTHWESTERN HWY",
"address_2": "SUITE I",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483343225",
"telephone_number": "248-855-5554",
"fax_number": "248-851-8698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURCH",
"first_name": "CHARLES",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-30",
"last_updated": "2008-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801014861",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD OF MICHIGAN PIN",
"identifier": "08977890",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.