JEFFREY M BURCH (NPI# 1225148224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225148224 |
| Entity Type | Individual |
| Full Name | JEFFREY M BURCH |
| Credential | PSY.D. |
| Practice Address |
2711 S Rouse St Ste C&d Pittsburg KS 66762-6620 |
| Practice Telephone | 6202311068 |
| Mailing Telephone | 6202311068 |
| Mailing Fax Number | 6202312792 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-06-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1369 | KS | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | BLUE CROSS BLUE SHIELD | 119895 | 01 |
| KS | 200380730A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285772483 | Jeffrey V Burch | Dentist | 1075 Featherstone Rd, Rockford, IL 61107-5906 | 2007-02-01 |
| Street Address |
2711 S ROUSE ST STE C&D |
| City | PITTSBURG |
| State | KS |
| Zip Code | 66762-6620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225275035 | Tara L. Fleck | Counselor | 2711 S Rouse St Ste C&d, Pittsburg, KS 66762-6620 | 2009-01-15 |
| 1447423710 | Josie I Welch | Counselor | 2711 S Rouse St Ste C&d, Pittsburg, KS 66762-6620 | 2008-04-08 |
| 1508929829 | Rebecca Sue Honeycutt | Psychologist | 2711 S Rouse St Ste C&d, Pittsburg, KS 66762-6620 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578172250 | Mallory Kate Revell | Student in an Organized Health Care Education/Training Program | 1701 S Broadway S, Irene Ransom Bradley School of Nursing, Psu, Pittsburg, KS 66762 | 2020-07-28 |
| 1245849967 | Shelbie Cosby | Student in an Organized Health Care Education/Training Program | 1701 S. Broadway St, Irene Ransom Bradley School of Nursing, Pittsburg, KS 66762 | 2020-07-28 |
| 1679103642 | Jessica Crager | Nurse Practitioner | 2401 S Tucker Terr, Ste 1, Pittsburg, KS 66762 | 2020-01-18 |
| 1376198226 | Apollo Services Inc | Durable Medical Equipment & Medical Supplies | 2505 S Springdale, Pittsburg, KS 66762 | 2019-08-07 |
| 1851885719 | Chelsea Duncan | Social Worker | 911 E Centennial, Pittsburg, KS 66762 | 2018-06-14 |
| 1902395858 | Alexandria Winter | Specialist/Technologist | 1701 S Homer Street, Pittsburg, KS 66762 | 2018-05-07 |
| 1811419633 | Troy Richard Quenzer | Specialist/Technologist | 1701 S Homer St, 213 Weede Phys Ed Bldg, Pittsburg, KS 66762 | 2017-07-13 |
| 1356727002 | John Klodt | Social Worker | 902 E Centennial Dr Apt 13a, Pittsburg, KS 66762 | 2015-08-05 |
| 1295120533 | Christine E. Conner | Nurse Practitioner | 1 Mt. Carmel Way, 2nd Floor, East, Pittsburg, KS 66762 | 2015-04-03 |
| 1700278983 | Performance Spine & Sport LLC | Chiropractor | 2597 S. Broadway Suite A, Pittsburg, KS 66762 | 2015-02-25 |
| Find all providers in zip 66762 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346778347 | Regan Slater | Psychologist | 313 N Broadway St Apt 202, Pittsburg, KS 66762-4865 | 2017-06-02 |
| 1548497100 | Marian L. Smith | Psychologist | 200 E. Centennial Drive, Ste. 13, Pittsburg, KS 66762-6571 | 2009-06-22 |
| 1588828552 | Lisa Marie Milford | Psychologist | 1102 S Rouse St, Pittsburg, KS 66762-6048 | 2008-07-17 |
| 1477748820 | Janet Valerie Smith | Psychologist | 1701 S Broadway, Pittsburg State University, Department of Psychology and Counseling, Pittsburg, KS 66762 | 2007-09-10 |
| 1023179553 | Christopher J Celio | Psychologist | 555 School St, Pittsburg, CA 94565-3937 | 2006-12-12 |
| 1508090283 | Jennifer June Sanchez | Psychologist | 555 School St, Pittsburg, CA 94565-3937 | 2009-05-08 |
| 1437355195 | Sean Lauderdale | Psychologist | 1701 S Broadway St, Pittsburg, KS 66762-5856 | 2007-06-21 |
| 1508929829 | Rebecca Sue Honeycutt | Psychologist | 2711 S Rouse St Ste C&d, Pittsburg, KS 66762-6620 | 2006-12-18 |
| 1063573608 | Cheryl M. Bryan | Psychologist | 2311 Loveridge Rd, Pittsburg, CA 94565-5117 | 2006-12-13 |
| 1063502904 | Steven B. Mayhew | Psychologist | 200 E. Centennial Dr., Suite 13, Pittsburg, KS 66762 | 2006-10-13 |
| Find all providers in PITTSBURG | ||||
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| 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.