NICOLE BURT (NPI# 1053805325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053805325 |
| Entity Type | Individual |
| Full Name | NICOLE BURT |
| Credential | PH.D. |
| Practice Address |
7600 N 16th St Ste 110 Phoenix AZ 85020-4446 |
| Practice Telephone | 6026150381 |
| Mailing Telephone | 6026150381 |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2018-06-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
4975 | AZ | Behavioral Health & Social Service Providers |
| N | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
Behavioral Health & Social Service Providers |
| Street Address |
7600 N 16TH ST STE 110 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85020-4446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457501876 | Joseph A Gentry | Psychologist | 7600 N 16th St Ste 110, Phoenix, AZ 85020-4446 | 2008-09-22 |
| 1962046870 | Brooke Mackenzie Blakeman | Behavioral Analyst | 7600 N 16th St Ste 110, Phoenix, AZ 85020-4446 | 2019-11-04 |
| 1134781487 | Anne Terese Yslas | Behavioral Analyst | 7600 N 16th St Ste 110, Phoenix, AZ 85020-4446 | 2019-07-07 |
| 1144789652 | Tera Cawley Donegan | Behavioral Analyst | 7600 N 16th St Ste 110, Phoenix, AZ 85020-4446 | 2019-03-14 |
| 1811456403 | Taryn Snyder | Behavioral Analyst | 7600 N 16th St Ste 110, Phoenix, AZ 85020-4446 | 2019-03-13 |
| 1528574365 | Cierra Patricia Miller | Behavioral Analyst | 7600 N 16th St Ste 110, Phoenix, AZ 85020-4446 | 2017-12-15 |
| 1821527979 | Kathryn Marie Severson | Speech-Language Pathologist | 7600 N 16th St Ste 110, Phoenix, AZ 85020-4446 | 2017-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124683537 | Joseph A Jones | Pharmacist | 7543 N 20th St, Phoenix, AZ 85020 | 2019-05-01 |
| 1871022210 | Amber L Enright | Physical Therapist | 1675 E Morten Ave, 4155, Phoenix, AZ 85020 | 2017-06-08 |
| 1518407683 | Harmony Dental Partners, LLC | Dentist | 7150 North 7th Street, Phoenix, AZ 85020 | 2017-03-08 |
| 1104369495 | Michelle Mastro | Registered Nurse | 1234 E. Northern Avenue, Phoenix, AZ 85020 | 2016-11-18 |
| 1912363003 | Charles D. Atkinson | Social Worker | 1716 East Seldon Lane, Phoenix, AZ 85020 | 2016-01-06 |
| 1477928471 | Erin Testa | Psychologist | 7600 N 16th St Ste 218, Phoenix, AZ 85020 | 2015-12-02 |
| 1972977569 | Borpan Monitoring, Pllc | Psychiatry & Neurology | 7000 N 16th Street Ste 120 # 281, Phoenix, AZ 85020 | 2015-11-19 |
| 1275906984 | Summer Macey | Nurse Practitioner | 9225 N. 3rd St #304, Affiliated Hospitalists, Phoenix, AZ 85020 | 2015-11-03 |
| 1356712772 | Maurie S Comenzo | Clinic/Center | 11024 North 28th Drive/suite #200, Lake Biltmore Corporate Center, Phoenix, AZ 85020 | 2015-10-12 |
| 1700260692 | Stansberry Family Dentistry Pllc | Dentist | 7501 N. 16th St. #100, Phoenix, AZ 85020 | 2015-07-10 |
| Find all providers in zip 85020 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477928471 | Erin Testa | Psychologist | 7600 N 16th St Ste 218, Phoenix, AZ 85020 | 2015-12-02 |
| 1801919840 | Tyra Maria Ripley | Psychologist | 3120 W Cholla St, Phoenix, AZ 85029-4113 | 2007-04-06 |
| 1205988474 | Terrence M Matteo | Psychologist | 10616 S 43rd St, Phoenix, AZ 85044-1305 | 2007-01-17 |
| 1942221858 | Sean Conway Mcdevitt | Psychologist | 7330 North 16th Street, A120, Phoenix, AZ 85020 | 2006-07-23 |
| 1063023836 | Daniel Wechsler | Psychologist | 2225 N 16th St, Phoenix, AZ 85006-1823 | 2020-08-13 |
| 1679039689 | Youth World Education Project, Inc | Psychologist | 9617 N Metro Pkwy W, Phoenix, AZ 85051-1400 | 2019-02-14 |
| 1831459650 | Gina De Simone | Psychologist | 7330 N 16th St, Suite C200, Phoenix, AZ 85020-5237 | 2012-05-26 |
| 1811257264 | Lisa Elder Outhier | Psychologist | 7330 N 16th St, C-200, Phoenix, AZ 85020-5237 | 2012-05-19 |
| 1053692046 | Christina Whalen | Psychologist | 300 N 18th St, Phoenix, AZ 85006-4103 | 2011-09-02 |
| 1508167560 | Jennifer Anne Gray | Psychologist | 124 W Thomas Rd, Phoenix, AZ 85013-4405 | 2010-11-08 |
| Find all providers in PHOENIX | ||||
Please comment or provide details below to improve the information on NICOLE BURT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.