| J. Randolph Burnham Ph.d.,p.c. | |
|
18 Kings Hwy S Westport CT 06880-4710 | |
| (203) 227-7199 | |
| Not Available |
| Full Name | J. Randolph Burnham Ph.d.,p.c. |
|---|---|
| Speciality | Psychologist |
| Location | 18 Kings Hwy S, Westport, Connecticut |
| Authorized Official Name and Position | J. Randolph Burnham (PRESIDENT) |
| Authorized Official Contact | 2032277199 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| J. Randolph Burnham Ph.d.,p.c. 18 Kings Hwy S Westport CT 06880-4710 Ph: (203) 227-7199 | J. Randolph Burnham Ph.d.,p.c. 18 Kings Hwy S Westport CT 06880-4710 Ph: (203) 227-7199 |
| NPI Number | 1992854483 |
|---|---|
| Provider Enumeration Date | 01/10/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5597953703 |
|---|---|
| Medicare Enrollment ID | O20110103000348 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992854483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 464 (Connecticut) | Primary |
| Provider Name | John R Burnham |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417005554 PECOS PAC ID: 4284822404 Enrollment ID: I20110103000409 |
Regenerative Psychotherapy Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 95 Long Lots Rd, Westport, CT 06880 Phone: 917-224-9598 | |
Ladan Hamd, Md Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 225 Main St, Westport, CT 06880 Phone: 203-513-2642 Fax: 203-513-2638 | |
The Macletchie Institute Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1071 Post Rd E, Suite 202, Westport, CT 06880 Phone: 203-438-3139 | |
Jgp Behavior And Learning Solutions, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7 Gorham Ave, Westport, CT 06880 Phone: 203-858-3892 Fax: 203-454-3117 | |
Positive Directions - The Center For Prevention And Counseling Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 90 Post Rd W, Westport, CT 06880 Phone: 203-227-7644 Fax: 203-227-0037 | |
Walk Into Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7 Taylor Ln, Westport, CT 06880 Phone: 203-414-2613 | |
Lift Teen And Parent Wellness Centers Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8 Myrtle Ave, Westport, CT 06880 Phone: 203-526-3215 |