Active NPI
John C Burton, PSYD
- Psychologist
- Hood River, OR
National Provider Identifier
1639295520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2631
- Practice address
- 1100 E Marina Way
Suite 221
Hood River, OR 97031-2305 - Phone
- (541) 288-8096
- Fax
- (415) 500-8275
- NPI assigned
- Mar 22, 2007
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2631 | OR | Primary |
Addresses
Primary practice location
1100 E Marina Way
Suite 221
Hood River, OR 97031-2305
Mailing address
PO Box 2022
Hood River, OR 97031-1929
Phone (541) 288-8096
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9968 | Other | SFGH INTERNAL USE ONLY | |
| 9968 | Other | CBHS INTERNAL USE ONLY-COMMERCIAL NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 2, 2026 through Jun 2, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2631 | OR | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455235200000",
"number": "1639295520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2022",
"city": "HOOD RIVER",
"state": "OR",
"postal_code": "970311929",
"telephone_number": "541-288-8096",
"fax_number": "415-500-8275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 E MARINA WAY",
"address_2": "SUITE 221",
"city": "HOOD RIVER",
"state": "OR",
"postal_code": "970312305",
"telephone_number": "541-288-8096",
"fax_number": "415-500-8275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURTON",
"first_name": "JOHN",
"middle_name": "C",
"name_prefix": "Mr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-22",
"last_updated": "2016-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OR",
"license": "2631",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SFGH INTERNAL USE ONLY",
"identifier": "9968",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CBHS INTERNAL USE ONLY-COMMERCIAL NUMBER",
"identifier": "9968",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hood River, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2016; 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.