Derek Burkeman, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY16094 Issued in CA

Practice address

7285 Quill Dr
Downey, CA 90242-2001

Phone

(562) 940-6077

NPI assigned

Oct 17, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1669553855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7285 QUILL DR",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902422001",
            "telephone_number": "562-940-6077",
            "fax_number": "562-803-0637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7285 QUILL DR",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902422001",
            "telephone_number": "562-940-6077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "208 Termino Ave",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908036121",
            "country_code": "US",
            "telephone_number": "562-618-2392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURKEMAN",
        "first_name": "DEREK",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY16094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim CHI Thanh Bui, M.D.
• Boid Buie
• Shameka Bullard
• Molly So Bun
• Marylou Bunn
• Dennis Burog
• Wendy Burton, CCC-SP
• Janet Suzanne Burtt, MFT
• Arlene Carisa Bustamante
• Delicia Bustamante

• Clinical Psychologist in Downey, CA
• Providers in Downey, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.