DR. MICHELLE L BURT


Address: 1 Shields Ave, 219 North Hall, Student Health & Counseling Services, Davis, CA 95616-5270
Phone: 5307520871

DR. MICHELLE L BURT (NPI# 1659789469) 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) 1659789469
Entity Type Individual
Full Name DR. MICHELLE L BURT
Credential PHD
Practice Address 1 Shields Ave
219 North Hall, Student Health & Counseling Services
Davis
CA 95616-5270
Practice Telephone 5307520871
Practice Fax Number 5307529923
Mailing Telephone 5307520871
Mailing Fax Number 5307529923
Enumeration Date 2014-07-24
Last Update Date 2015-10-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist PSY 26468 CA Behavioral Health & Social Service Providers

Other Providers MICHELLE BURT

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1730534280 Michelle Burt Massage Therapist 3006 Carswell Dr, Augusta, GA 30909-9752 2016-05-03
1063727725 Michelle Lee Burt Licensed Practical Nurse 27752 Perch Lake Rd, Watertown, NY 13601-5288 2010-08-18
1134426877 Michelle L Burt Community Health Worker 325 Sw Frazier Ave, Topeka, KS 66606-1963 2011-02-15

Office Location

Street Address 1 SHIELDS AVE
219 NORTH HALL, STUDENT HEALTH & COUNSELING SERVICES
City DAVIS
State CA
Zip Code 95616-5270

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356322903 Aimee Sisson Student in an Organized Health Care Education/Training Program 1 Shields Ave, Uc Davis Master of Public Health Program, Davis, CA 95616-5270 2005-11-10
1811597941 Anna Pavlov Registered Nurse 1 Shields Ave, Davis, CA 95616-5270 2020-10-28
1811548779 Sarah Schmitt Dietitian, Registered 1 Shields Ave, Davis, CA 95616-5270 2019-09-23
1619526373 Vida Khaliki Physician Assistant 1 Shields Ave, Davis, CA 95616-5200 2019-09-05
1912496563 Lisa Kay Varnum Specialist/Technologist 1 Shields Ave, Davis, CA 95616-5200 2018-05-08
1730682022 Sean Carrington Specialist/Technologist 1 Shields Ave, Davis, CA 95616 2018-03-13
1720502701 Torie Johnson Specialist/Technologist 1 Shields Ave, Davis, CA 95616-5270 2017-08-01
1073044350 Uc Davis Student Health and Counseling Services Clinic/Center 1 Shields Ave, Shcs, Davis, CA 95616-5270 2017-03-27
1992247092 Lauren Eichstadt Pharmacist 1 Shields Ave, Davis, CA 95616-5270 2016-11-07
1467906222 Duane Robinson Specialist 1 Shields Ave, School of Vet Med, Uc Davis, Davis, CA 95616-5270 2016-08-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417560871 Anne-frances Ostrander Physical Therapy Assistant 397 La Rue Rd, Davis, CA 95616 2020-08-26
1487271458 Alix Peloso Mahon Behavior Technician 1212 Alvarado Ave Apt 68, Davis, CA 95616 2020-06-25
1427671882 Dhhs Ihs Cao Sacred Oaks Healing Center Substance Abuse Rehabilitation Facility 33100 County Road 31, Davis, CA 95616 2020-05-20
1871126961 Linda Marie Adams Dietitian, Registered Uc Davis Occupational Health, One Shields Ave - Cowell Hall Room 35, Davis, CA 95616 2020-02-17
1851935217 Timothy James Johnston Orthotist 635 Anderson Rd., Suite 18, Davis, CA 95616 2019-10-29
1386290716 Dakota Cool Specialist/Technologist 750 Orchard Road, Davis, CA 95616 2019-08-12
1366908618 Capitol Periodontal Group Dentist 750 F Street #5, Davis, CA 95616 2019-02-12
1831663434 Elisha Niccole Cusumano Specialist/Technologist 264 Hickey Gym, 1 Shields Ave, Davis, CA 95616 2019-01-16
1609364991 Aron Matthew Katz Psychologist One Shield Ave, Student Health & Wellness Center, Bhp, Davis, CA 95616 2018-04-23
1316463938 Arielle Pinkston Marriage & Family Therapist 203 F St, Davis, CA 95616 2017-08-15
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548541873 Neurobehavioral Programs, Incorporated Psychologist 2659 Portage Bay E Apt 204, Davis, CA 95616-3050 2011-08-31
1427216167 Counseling & Psychological Services Psychologist 219 North Hall, Davis, CA 95616 2008-05-29
1417115114 Bai-yin Chen Psychologist One Shields Ave, Counseling and Psychological Services 219 North Hall, Davis, CA 95616-8568 2008-05-29
1346421831 Emily Katonah Hartley Psychologist Caps 219 North Hall, University of California, Davis, Davis, CA 95616 2007-11-26
1285829820 Cassandra Marie Majestic Psychologist 132 E St Ste 320, Davis, CA 95616-4796 2007-09-06
1295851392 Trudy Maria Baltz Psychologist 1621 Oak Ave Ste B, Davis, CA 95616-1000 2007-03-21
1902935034 Dana Simon Paskowitz Psychologist 102 E St, Davis, CA 95616-4633 2007-03-05
1932255379 Laura Lynn Mansouri Psychologist 1260 Lake Blvd Ste 217, Davis, CA 95616-5667 2007-01-26
1275549271 Joseph M Spector Psychologist 2050 Lyndell Terr, Suite 130, Davis, CA 95616-6205 2006-07-31
1578528386 Sally Medora Wood Psychologist 604 3rd St, Davis, CA 95616-4553 2006-04-18
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Competitor

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City DAVIS
Zip Code 95616

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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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