Bart Allen Burger, M.A., LLP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6361004274 Issued in MI

Practice address

19368 Midway Rd
Southfield, MI 48075-4159

Phone

(248) 752-4614

NPI assigned

May 5, 2011

Last updated

Aug 4, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Richard Kneip, PH.D., P.C.

  dba Great Lakes Psychology Group

  • Community/Behavioral Health Agency
  • Clarkston, MI
  • NPI 1679739700
  NPD (past)

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

{
    "created_epoch": "1304553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1649562869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 W 11 MILE RD",
            "address_2": "SUITE C",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480675401",
            "telephone_number": "248-752-4614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19368 MIDWAY RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754159",
            "telephone_number": "248-752-4614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGER",
        "first_name": "BART",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "M.A., LLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-05",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301014598",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6361004274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelynd D Burd
• Burdette and Doss Psychological Services LC
• James Benjiman Burdette III, PA-C
• Holly Nicole Burean
• Ayden Burge
• Timothy Burggraf, NP
• Gerald J Burke, MD
• Jeremy Burke, LSW, CDCA, LLBSW
• Stephanie Burkett
• Jeana M Burkhard

• Psychologist in Southfield, MI
• Providers in Southfield, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.