Carrie Emma Burrous, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0480000905 Issued in VT

Practice address

118 Pine St
Burlington, VT 05401-8421

Phone

(802) 657-4042

Fax

(802) 862-4062

NPI assigned

May 9, 2007

Last updated

Jul 26, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• C Emma Burrous Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• C. Emma Burrous, PH.D., PLC

  • Clinical Psychologist
  • Burlington, VT
  • NPI 1013264498
  NPD (past)
• Vermont Psychological Services: Leitenberg Center for Evidence-Based P

  • Clinical Psychologist
  • Burlington, VT
  • NPI 1598837593
  NPD (past)

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374796800000",
    "number": "1629282876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 PINE ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054018421",
            "telephone_number": "802-657-4042",
            "fax_number": "802-862-4062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 PINE ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054018421",
            "telephone_number": "802-657-4042",
            "fax_number": "802-862-4062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURROUS",
        "first_name": "CARRIE",
        "middle_name": "EMMA",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2013-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VT",
            "license": "0480000905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "C",
            "last_name": "BURROUS",
            "middle_name": "EMMA",
            "credential": "PH.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kathryn Ann Burns, MD
• Montana Burns, M.S.O.M. L.AC.
• Rebecca Burns, LCMHC
• Tien T. Burns, M.D.
• Peter Shane Burras, L.AC.,
• Ryan Conlon Bushey, RPH
• Andrew Charles Bushnell, M.D.
• Scott William Bushweller, PT
• Michael Bustamantes, MS, NCC, LCMHC
• Marie Anne Christine Buteau, MD

• Clinical Psychologist in Burlington, VT
• Providers in Burlington, VT by specialty
• Clinical Psychologist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.