Active NPI
Kathryn A Burnett, PSYD
- Clinical Psychologist
- Columbia, MD
National Provider Identifier
1871178475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 06473
- Practice address
- 10015 Old Columbia Rd Ste B215
Columbia, MD 21046-1865 - Phone
- (240) 836-2733
- Fax
- (240) 836-2756
- NPI assigned
- Mar 15, 2021
- Last updated
- Sep 30, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 06473 | MD | Primary |
Addresses
Primary practice location
10015 Old Columbia Rd Ste B215
Columbia, MD 21046-1865
Mailing address
10015 Old Columbia Rd Ste B215
Columbia, MD 21046-1865
Phone (240) 836-2733
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 3, 2021 through May 3, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06473 | MD | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kathryn Burnett, PSYD LLC | Clinical | Current | Accepting new patients |
Locations
15630 Old Columbia Pike
Ste E
Burtonsville, MD 20866
10015 Old Columbia Rd
Ste B215
Columbia, MD 21046
Phone (410) 312-7631
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759190400000",
"number": "1871178475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10015 OLD COLUMBIA RD STE B215",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210461865",
"telephone_number": "240-836-2733",
"fax_number": "240-836-2756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10015 OLD COLUMBIA RD STE B215",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210461865",
"telephone_number": "240-836-2733",
"fax_number": "240-836-2756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNETT",
"first_name": "KATHRYN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-15",
"last_updated": "2025-09-30",
"certification_date": "2025-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "06473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; 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.