Active NPI
Emily Burton, PH.D.
- Psychologist
- Valdosta, GA
National Provider Identifier
1962516625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY003132
- Practice address
- 348 Enterprise Dr Ste B
Valdosta, GA 31601-5169 - Phone
- (292) 316-2615
- Fax
- (523) 384-8197
- NPI assigned
- Aug 19, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY003132 | GA | Primary |
Addresses
Primary practice location
348 Enterprise Dr Ste B
Valdosta, GA 31601-5169
Mailing address
2841 N Patterson St
Valdosta, GA 31602-1743
Phone (229) 293-0132
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY003132 | GA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630281600000",
"number": "1962516625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2841 N PATTERSON ST",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316021743",
"telephone_number": "229-293-0132",
"fax_number": "229-293-0162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "348 ENTERPRISE DR STE B",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316015169",
"telephone_number": "292-316-2615",
"fax_number": "523-384-8197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURTON",
"first_name": "EMILY",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-19",
"last_updated": "2021-08-30",
"certification_date": "2021-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "GA",
"license": "PSY003132",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valdosta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.