Active NPI
Brian James Burkett
- Psychologist
- Ann Arbor, MI
National Provider Identifier
1912259219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 111 N 1St St
#2
Ann Arbor, MI 48104-1397 - Phone
- (734) 648-0061
- NPI assigned
- Oct 10, 2012
- Last updated
- Oct 10, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | ||
| Psychologist | 103T00000X | NU | Primary | |
| Psychoanalysis Psychologist | 103TP0814X | NU | ||
| Psychoanalyst | 102L00000X | NU |
Addresses
Primary practice location
111 N 1St St
#2
Ann Arbor, MI 48104-1397
Mailing address
367 Meadowind CT
Pinckney, MI 48169-8939
Phone (734) 648-0061
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Center for Eating Disorders | Past | Accepting new patients |
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.
-
- General Practice Physician
- Ann Arbor, MI
- NPI 1154766244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349827200000",
"number": "1912259219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "367 MEADOWIND CT",
"city": "PINCKNEY",
"state": "MI",
"postal_code": "481698939",
"telephone_number": "734-648-0061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 N 1ST ST",
"address_2": "#2",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481041397",
"telephone_number": "734-648-0061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKETT",
"first_name": "BRIAN",
"middle_name": "JAMES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-10",
"last_updated": "2012-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "103TP0814X",
"taxonomy_group": "",
"desc": "Psychologist, Psychoanalysis",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.