Jeannette Aydelotte Burr, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

015363 Issued in NY

Practice address

120 Allens Creek Rd
Rochester, NY 14618-3306

Phone

(585) 233-7420

NPI assigned

Apr 10, 2006

Last updated

May 24, 2013By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in CA

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, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

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": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369353600000",
    "number": "1639132707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 ALLENS CREEK RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146183306",
            "telephone_number": "585-233-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 ALLENS CREEK RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146183306",
            "telephone_number": "585-233-7420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURR",
        "first_name": "JEANNETTE",
        "middle_name": "AYDELOTTE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2013-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "015363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie P Burns, LCSW-R,GCP
• Megan Kennedy Burns, MD
• Paul C Burns, M.D.
• William Burns
• Zachary Burns, DO, MPH
• Mary Louise Burr, LCSW
• Rachel Martina Burr, MD
• Steven D Burr
• Amy Duflo Burris, M.D.
• Christina Noelle Burris, AGNP-BC

• Clinical Psychologist in Rochester, NY
• Providers in Rochester, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; 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.