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CHARLES E. BURT PH.D. AND ASSOCIATES P.C. NPI 1518007640


NPI Information

NPI: 1518007640
Provider Name: CHARLES E. BURT, PH.D. AND ASSOCIATES, P.C.
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
1800 MICHAEL FARADAY DR STE 206
RESTON, VA
ZIP 20190
Phone: (703) 899-3290
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CHARLES E. BURT, PH.D. AND ASSOCIATES, P.C. is a clinical psychologist in Reston, VA. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. CHARLES E. BURT, PH.D. AND ASSOCIATES, P.C. NPI is 1518007640. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1800 MICHAEL FARADAY DR STE 206
RESTON, VA
ZIP 20190-312
Phone: (703) 899-3290
Fax: (703) 723-9404

The provider's authorized official is Charles Ernest Burt .
The authorized official title is President and has the following contact phone number (703) 899-3290.

The enumeration date for this NPI number is 2/7/2007 and was last updated on 2/29/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC0700XPsychologistClinical0810001508VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1107617OTHERVIRGINIAANTHEM BXBS
2031200OTHERVIRGINIAVALUE OPTIONS PROVIDER #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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