HOFFMANN BURCHETT PSYCHOLOGICAL SERVICES, LLC (NPI# 1477860609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477860609 |
Entity Type | Organization |
Organization Name | HOFFMANN BURCHETT PSYCHOLOGICAL SERVICES, LLC |
Practice Address |
205 N Williamsburg Dr Suite F Bloomington IL 61704-7706 |
Practice Telephone | 3098308099 |
Practice Fax Number | 3094545153 |
Mailing Telephone | 3098308099 |
Mailing Fax Number | 3094545153 |
Enumeration Date | 2010-09-09 |
Last Update Date | 2011-02-07 |
Authorized Official Name | DR. CHRISTINA M. BURCHETT (LICENSED CLINICAL PSYCHOLOGIST) |
Authorized Official Telephone | 3098308099 |
Authorized Official Credential | PH.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
0071006988 | IL | Behavioral Health & Social Service Providers |
Street Address |
205 N WILLIAMSBURG DR SUITE F |
City | BLOOMINGTON |
State | IL |
Zip Code | 61704-7706 |
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1346760253 | Elizabeth Devlin | Nurse Practitioner | 25 Long Cove Ct, Bloomington, IL 61704 | 2017-06-21 |
1396107918 | Darla Schwertfeger | Specialist/Technologist, Other | 2104 Hedgewood Dr, Bloomington, IL 61704 | 2016-03-23 |
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Find all providers in zip 61704 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
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1154885028 | Sara J. W. Biebl, Ph.d., Licensed Psychologist, Pllc | Psychologist | 7900 Xerxes Ave S Ste 1125, Bloomington, MN 55431-1112 | 2019-01-24 |
1053894501 | Thrive Psychology Services, LLC | Psychologist | 4120 W Dresden Dr, Bloomington, IN 47404-8403 | 2018-09-11 |
1194184465 | Chjl LLC | Psychologist | 8120 Penn Ave S Ste 252, Bloomington, MN 55431-1358 | 2016-02-16 |
1992100077 | Lindeman and Associates, LLC | Psychologist | 3802 E 3rd St, Suite 220, Bloomington, IN 47401-5504 | 2014-10-30 |
1255772174 | Amanda Quinby | Psychologist | 205 N College Ave Ste 512, Bloomington, IN 47404-3952 | 2013-07-08 |
1457609802 | Jason Vasquez | Psychologist | 2416 Washington, A-3, Bloomington, IL 61704 | 2012-08-16 |
1710282058 | Annorah Sheeran Moorman | Psychologist | 1319 Fell Ave, Bloomington, IL 61701-1828 | 2011-01-18 |
1356654693 | James Wiltz | Psychologist | 2745 E Elderberry Ct, Bloomington, IN 47401-4307 | 2010-07-15 |
1528207784 | Jennifer Elizabeth Koch | Psychologist | 2502 E Empire St Ste C, Bloomington, IL 61704-3739 | 2009-02-11 |
1083859557 | Mark A. Herrmann, Ph.d., P.C. | Psychologist | 3705 N Bittersweet Dr, Bloomington, IN 47408-9656 | 2008-12-11 |
Find all providers in BLOOMINGTON |
City | BLOOMINGTON |
Zip Code | 61704 |
Please comment or provide details below to improve the information on HOFFMANN BURCHETT PSYCHOLOGICAL SERVICES, LLC.
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.