DR. CHARLES ERNEST BURT


Address: 1800 Michael Faraday Dr Ste 206, Reston, VA 20190-5312
Phone: 7038993290

DR. CHARLES ERNEST BURT (NPI# 1043362197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043362197
Entity Type Individual
Full Name DR. CHARLES ERNEST BURT
Credential PH.D.
Practice Address 1800 Michael Faraday Dr Ste 206
Reston
VA 20190-5312
Mailing Address 22563 Forest Manor Dr
Ashburn
VA 20148-6900
Practice Telephone 7038993290
Practice Fax Number 7037239404
Mailing Telephone 7038993290
Mailing Fax Number 7037239404
Enumeration Date 2007-01-17
Last Update Date 2020-02-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
0810001508 VA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
FEDERAL EMPLOYER ID # 54-1848078 01
VA ANTHEM BXBS RESTON ADDR 107617 01
VA VALUE OPTIONS PROVIDER ID 031200 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
21351 Gentry Dr Ste 250, Sterling, VA 201668514 7038993290 7037239404
22563 Forest Manor Dr, Ashburn, VA 201486900 7038993290 7037239404

Other Providers CHARLES BURT

NPI Name Taxonomy Address Enumeration
1972792604 Charles R Burt Counselor 3319 N Sheffield Ave Unit 3, Chicago, IL 60657-2293 2007-10-18
1033243027 Charles Richard Burt Dentist 1175 Franklin St, Rocky Mount, VA 24151-1248 2007-03-14
1588114482 Charles Britt Burt Registered Nurse Hc 1 Box 8150, Sells, AZ 85634-9737 2016-10-04
1033466347 Charles M Burt Pharmacist 312 S Main St, Hartford, KY 42347-1129 2012-08-07
1396032769 Charles Burt Counselor 8745 County Road 9 S, Alamosa, CO 81101-9610 2011-07-06
1033186309 Charles F Burt Orthopaedic Surgery 2725 S 144th St, #110, Omaha, NE 68144-5243 2006-03-04

Office Location

Street Address 1800 MICHAEL FARADAY DR STE 206
City RESTON
State VA
Zip Code 20190-5312

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760976633 Amanda Bales Long Social Worker 1800 Michael Faraday Dr Ste 206, Reston, VA 20190-5312 2018-06-14
1518007640 Charles E. Burt, Ph.d. and Associates, P.C. Psychologist 1800 Michael Faraday Dr Ste 206, Reston, VA 20190-5312 2007-02-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912548470 Virginia Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 1906 Reston Metro Plaza, Suite 100, Reston, VA 20190 2019-10-04
1205483260 Northern Virginia Applied Behavior Analysis, L.L.C. Behavioral Analyst 1984 Issac Newton Square West, Suite 204, Reston, VA 20190 2019-08-23
1336796481 Sandra Chiunda Nurse Practitioner 11484 Washington Plaza W 3rd Floor, Reston, VA 20190 2019-08-23
1891357232 Beyond Counseling, Inc. Clinic/Center 11250 Roger Bacon Dr., Atrium 5, Reston, VA 20190 2019-07-06
1003470063 Sarah Katharina Jungnitsch Registered Nurse Reston Anesthesia Associates, 11341 Sunset Hills Road, Reston, VA 20190 2019-04-25
1194202341 May Health Care Services Inc Home Health 12110 Sunset Hills Road Suite 600, Reston, VA 20190 2018-07-20
1245739895 Carlee B. Genung Physician Assistant 1760 Reston Parkway Suite 306, Reston, VA 20190 2018-02-09
1760901045 Kristen Kelly Dietitian, Registered 11703 Bowman Green Drive, Lower Level, Reston, VA 20190 2017-09-18
1245778992 Sarah Christine Bernstein Occupational Therapist 1860 Town Center Drive Ste, Suite 300, Reston, VA 20190 2017-02-02
1023495298 Phillip Nguyen Dentist 1800 Town Center Dr Ste 116, Reston, VA 20190 2015-04-27
Find all providers in zip 20190

Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275916413 Claudia Patricia Amendola Psychologist 1818 Library St Ste 567, Reston, VA 20190-6242 2015-07-07
1578970224 Lauren King Wall Psychologist 1810 Michael Faraday Dr Ste 204, Reston, VA 20190-5330 2014-07-15
1144505082 Abram Sterne Psychologist 11150 Sunset Hills Road, Suite 150, Family Compass, Reston, VA 20190 2011-10-11
1568741841 Tara Luv Travia Psychologist 11250 Roger Bacon Dr Ste 2, Reston, VA 20190-5202 2011-08-04
1083751648 Linda Rose Goglia Psychologist 11333 Sunset Hills Road, Linda R Goglia Phd, Reston, VA 20190-5205 2007-01-31
1952467664 Carlos Durana Psychologist 11417 Tanbark Dr, Reston, VA 20191-4103 2006-12-28
1932269339 Mary Jo Smrekar Psychologist 11231 Handlebar Rd, Reston, VA 20191-3907 2006-12-08
1962578195 Robert P. Rugel Psychologist 11506 Purple Beech Dr, Reston, VA 20191-1328 2006-11-28
1225148976 Sarita Bobrick Kaplan Psychologist 11333 Sunset Hill Road, Reston, VA 20190-5205 2006-08-30
1881674885 Bruce V Corsino Psychologist 12166 Chancery Station Cir, Reston, VA 20190-5803 2006-01-18
Find all providers in RESTON

Competitor

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City RESTON
Zip Code 20190

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Dataset Information

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.

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