CHARLES A BURGESS (NPI# 1215541040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215541040 |
| Entity Type | Individual |
| Full Name | CHARLES A BURGESS |
| Credential | PH.D. |
| Practice Address |
119 Parker Hall Columbia MO 65211-2340 |
| Practice Telephone | 5738826601 |
| Mailing Telephone | 5738826601 |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2020-08-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2019039862 | MO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649355280 | Charles M Burgess Jr. | Dentist | 104 E Gunter Ave, Opp, AL 36467-1604 | 2006-10-25 |
| 1518900679 | Charles Duane Burgess | Psychiatry & Neurology | 323 Dale St, Columbia, MS 39429-2745 | 2006-06-14 |
| 1699768333 | Charles J Burgess | Optometrist | 1255 Appleton Rd, Menasha, Menasha, WI 54952-1501 | 2005-08-29 |
| 1578005971 | Charles Bryan Burgess | Counselor | 9 Dunwoody Park, Dunwoody, GA 30338-7407 | 2016-11-16 |
| Street Address |
119 PARKER HALL |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65211-2340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023510724 | Alison Mosel | Specialist/Technologist | University of Missouri - Columbia, 1 Champions Drive, Columbia, MO 65211 | 2018-03-08 |
| 1033629589 | Jessica Crane | Pharmacist | 911 E Rollins St., Room 1207 Mizzou Pharmacy, Columbia, MO 65211 | 2017-10-10 |
| 1720178239 | Charles Michael Borduin | Psychologist | 211 S. 8th Street, Psychological Services Clinic University of Missouri, Columbia, MO 65211 | 2006-10-13 |
| 1760434096 | Deborah Marie Wright | Psychologist | Mu Assessment and Consultation Clinic, 205 Lewis Hall, Columbia, MO 65211 | 2006-05-16 |
| 1982185195 | Kyle Hamilton | Behavior Technician | 205 Portland St., Columbia, MO 65211 | 2018-08-25 |
| 1609051804 | Guy Louis Mccormack | Occupational Therapist | 300 Portland St, Suite 110 Thompson Center, Columbia, MO 65211 | 2008-01-07 |
| 1740894427 | Shraddha Niphadkar | Psychologist | 406 South 6th Street 119 Parker Hall, Columbia, MO 65211-0001 | 2020-09-01 |
| 1629638986 | Karl Osterman | Specialist/Technologist | 100 Missouri Athletics Training Complex Sports Medicine, Columbia, MO 65211-0001 | 2019-06-19 |
| 1588222541 | Nicholas Philpot | Specialist/Technologist | 213 Rothwell Gymnasium, Columbia, MO 65211-0001 | 2019-06-04 |
| 1740749340 | Greta Katherine Runge | Specialist/Technologist | 600 E Stadium, Columbia, MO 65211-0001 | 2019-03-14 |
| Find all providers in zip 65211 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851910335 | Columbia Psychology Healing Center LLC | Psychologist | 1900 N Providence Rd Ste 327, Columbia, MO 65202-3710 | 2020-04-14 |
| 1518515097 | Warrenetta Crawford Mann | Psychologist | 1409 Devine Street Thomson Building, Columbia, SC 29208-0001 | 2019-08-28 |
| 1528523420 | Daniel Franco | Psychologist | 4501 Kentsfield Ln, Columbia, MO 65201-3587 | 2019-02-05 |
| 1861964207 | Erin Joy Schuyler | Psychologist | 26 Barn Owl Ct, Columbia, SC 29209-4488 | 2018-12-26 |
| 1467944439 | Zixuan Wang | Psychologist | 10000 Town Center Ave Apt 434, Columbia, MD 21044-5447 | 2018-06-05 |
| 1366990384 | Amanda Marie Jones | Psychologist | 6851 Oak Hall Ln Ste 118, Columbia, MD 21045-5815 | 2016-09-19 |
| 1124574850 | Patrick Steele | Psychologist | 1531 Laurel St, Columbia, SC 29201 | 2016-09-01 |
| 1073968061 | Tara Acevedo, Psy.d., PC | Psychologist | 6213 Deep Earth Ln, Columbia, MD 21045-2565 | 2016-04-27 |
| 1467833798 | Matthew Edmond Fitzgerald | Psychologist | 6801 Oak Hall Ln # 2254, Columbia, MD 21045-9998 | 2015-06-11 |
| 1629468491 | Allison Brazendale | Psychologist | 1505 Blanding St, Columbia, SC 29201-2906 | 2015-01-30 |
| Find all providers in COLUMBIA | ||||
Please comment or provide details below to improve the information on CHARLES A BURGESS.
| 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.