Robert William Burchett, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6901 Issued in NY

Practice address

1030 Franklin Ave
#22
Valley Stream, NY 11580-2102

Phone

(516) 825-1038

NPI assigned

Feb 26, 2007

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)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811023450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 FRANKLIN AVE",
            "address_2": "#22",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115802102",
            "telephone_number": "516-825-1038",
            "fax_number": "516-825-1038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 FRANKLIN AVE",
            "address_2": "#22",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115802102",
            "telephone_number": "516-825-1038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCHETT",
        "first_name": "ROBERT",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "6901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Marie Buccheri
• Jacqueline Celed Budds, RN
• Buenos Aires Business Corp
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• Rita Bullock
• Alejandra Burgos
• Joaquin E Burgos, CASAC-T
• Antoinette Burnett, LMHC
• I'Nyaah Burrell
• Lucille Buscemi

• Clinical Psychologist in Valley Stream, NY
• Providers in Valley Stream, 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 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.