Timothy Burnett, PSYD is a
Psychologist - Clinical based in Fort Sam Houston, Texas. Timothy Burnett is licensed to practice in Washington (license number PY60675544) and his current practice location is
Brooke Army Medical Center, 3551 Roger Brooke Drive, Fort Sam Houston, Texas. He can be reached at his office (for appointments etc.) via phone at
(801) 739-3873.
NPI number for Timothy Burnett is 1003105347 and his current mailing address is 1513 S 1220 W, Woods Cross, Utah. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003105347.
Healthcare Provider's Profile
| Full Name | Timothy Burnett |
|---|
| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | Brooke Army Medical Center, Fort Sam Houston, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1003105347
- Provider Enumeration Date: 04/06/2011
- Last Update Date: 10/07/2024
Medical Identifiers
Medical identifiers for Timothy Burnett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003105347 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | PY60675544 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Timothy Burnett is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Timothy Burnett, PSYD
1513 S 1220 W,
Woods Cross, UT 84087-2370
Ph: (801) 739-3873 | Timothy Burnett, PSYD
Brooke Army Medical Center, 3551 Roger Brooke Drive,
Fort Sam Houston, TX 78234
Ph: (801) 739-3873 |
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