NPI 1649309030 · live from the CMS NPI Registry
Michael Raymond Burkart, Ph.D.
Psychologist, Clinical in Providence, RI. National Provider Identifier 1649309030, active.
NPI record
| NPI | 1649309030 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 444 Angell St, Providence, RI 02906 |
| Practice phone | 401-273-5115 |
| Enumerated | March 3, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | PS00286 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.