Robert Burkham, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

991057 Issued in WI

Practice address

103 W College Ave
Suite 815
Appleton, WI 54911

Phone

(920) 733-1992

Fax

(920) 733-1866

NPI assigned

Oct 5, 2006

Sex

Male

Sole proprietor

No

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)

Enrolled

Credentials

Doctor of Philosophy

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 and National Provider Directory roles.

• Hall Psychological Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Appleton, WI
  • NPI 1275765513
  NPD (past)
• Wellness Counseling Center, L.L.C.

  • Mental Health Counselor
  • Appleton, WI
  • NPI 1649354077
  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710073804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 W COLLEGE AVE",
            "address_2": "SUITE 815",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "54911",
            "telephone_number": "920-733-1992",
            "fax_number": "920-733-1866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W COLLEGE AVE",
            "address_2": "SUITE 815",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "54911",
            "telephone_number": "920-733-1992",
            "fax_number": "920-733-1866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKHAM",
        "first_name": "ROBERT",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "991057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Alan Burbey, DDS
• Leanne Burda
• Sarah Frances Wilson Burger, M.D.
• Tara Marie Burich, FNP-C
• John Burke, PH.D
• Samantha Burmeister
• Amy Marie Burns, OTR
• Carlie Marie Burns
• Andrea Burt, PT
• Kayleen I Burton, LCSW

• Psychologist in Appleton, WI
• Providers in Appleton, WI by specialty
• Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.