Corey J Burchette, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810004385 Issued in VA

Practice address

80 Pompton Ave Ste 106
Verona, NJ 07044-2913

Phone

(201) 577-8286

Fax

(201) 479-0299

NPI assigned

Oct 24, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• NJ Memory Center, LLC

  • Clinical Psychologist
  • Verona, NJ
  • NPI 1518425040
  Medicare reassignment Authorized official
• NJ Memory Center, LLC

  • Clinical Psychologist
  • Verona, NJ
  • NPI 1952869489
  NPD Authorized official

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

{
    "created_epoch": "1319414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1629354592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 POMPTON AVE STE 106",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070442913",
            "telephone_number": "201-577-8286",
            "fax_number": "201-479-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 POMPTON AVE STE 106",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070442913",
            "telephone_number": "201-577-8286",
            "fax_number": "201-479-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCHETTE",
        "first_name": "COREY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-24",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley T Doolen OD LLC
• Bridge for Inclusion
• Justin Brown, MD
• Charmaine Bryant
• Regina M. Budesa, PSYD
• Marilyn Burgos
• Jason Joseph Calo, ATC
• Suzana Cane, ANP
• Laura Marie Cannito, APN
• Cappello Chiropractic LLC

• Clinical Psychologist in Verona, NJ
• Providers in Verona, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.