ROBERTA BURKETT (NPI# 1780087791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780087791 |
Entity Type | Individual |
Full Name | ROBERTA BURKETT |
Credential | LEP |
Practice Address |
2650 Camino Del Rio N Ste 211 San Diego CA 92108-1632 |
Mailing Address |
9205 Brookside Cir Spring Valley CA 91977-1102 |
Practice Telephone | 6197540328 |
Practice Fax Number | 6193038152 |
Mailing Telephone | 6197540328 |
Mailing Fax Number | 6193038152 |
Enumeration Date | 2014-10-03 |
Last Update Date | 2014-10-03 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC1900X |
Psychologist Specialization: Counseling |
LEP3395 | CA | Behavioral Health & Social Service Providers |
Street Address |
2650 CAMINO DEL RIO N STE 211 |
City | SAN DIEGO |
State | CA |
Zip Code | 92108-1632 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952902801 | Keri Castaneda | Behavior Technician | 025 Camino Del Rio South Suite 101, San Diego, CA 92108 | 2020-11-06 |
1457963738 | Diyana Giorgees | Case Manager/Care Coordinator | 5005 Texas Street, St. 203, San Diego, CA 92108 | 2020-08-19 |
1780211896 | Lori Mildred Jerman | Marriage & Family Therapist | Healthy Minds Counseling Services, 1455 Frazee Road, Suite 880, San Diego, CA 92108 | 2020-03-26 |
1285260737 | Demetrius Anderson | Counselor | Telecare Corporation Ihot, 1660 Hotel Circle North, Suite 101, San Deigo, CA 92108 | 2020-03-17 |
1033742465 | Dasc Medical Inc | Durable Medical Equipment & Medical Supplies | 5520 Gill Village Way, 907, San Diego, CA 92108 | 2020-02-13 |
1508401092 | Chanda Denee Kizer | Marriage & Family Therapist | 3517 Camino Del Rio N, Suite 407, San Diego, CA 92108 | 2019-11-08 |
1225695562 | Jenna Rose Shurer | Nurse Practitioner | 5030 Camino De La Siesla Ste 106, San Diego, CA 92108 | 2019-05-22 |
1952967812 | Martha Kebede Mekonen | Chiropractor | 2667 Camino Del Rio South, Suite #313, San Diego, CA 92108 | 2019-05-16 |
1053886135 | Andrea Jiselly Munoz | Behavior Technician | 3505 Camino Del Rio South, Suite 200, San Diego, CA 92108 | 2018-10-04 |
1386128916 | Sarah Elisabeth Smith | Counselor | 7575 Metropolitan Dr., San Diego, CA 92108 | 2018-09-19 |
Find all providers in zip 92108 |
Taxonomy Code | 103TC1900X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Counseling |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
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1245797091 | Mindtune LLC | Psychologist | 4305 Gesner St Ste 215, San Diego, CA 92117-6677 | 2019-02-28 |
1902047442 | Raymond-steven Fernandez | Psychologist | 4513 39th St, San Diego, CA 92116-4631 | 2009-03-12 |
1790901544 | Sharon Morrison-velasco | Psychologist | 2501 Angell Ave, San Diego, CA 92122-2101 | 2007-04-18 |
1700819174 | Forough Douraghi | Psychologist | 5176 Avenida Playa Cancun, San Diego, CA 92124-1534 | 2006-07-09 |
1578599031 | Pollyanna V Casmar | Psychologist | 4452 Park Blvd, Suite 310, San Diego, CA 92116-4051 | 2006-06-24 |
1225019227 | Harmonium | Psychologist | 10717 Camino Ruiz, Suite 104, San Diego, CA 92126-2360 | 2005-11-08 |
1659374775 | Mary Mcginn Clark | Psychologist | 10981 San Diego Mission Rd, Ste 114, San Diego, CA 92108-2448 | 2005-05-23 |
1386189488 | Karen Lese-fowler | Psychologist | 3990 Old Town Ave, Suite A208, San Diego, CA 92110-2930 | 2016-12-27 |
1104160043 | Bastyr University | Psychologist | 4106 Sorrento Valley Blvd, San Diego, CA 92121-1407 | 2012-11-15 |
1952656902 | Patricia E. Celaya | Psychologist | 3909 Centre St, San Diego, CA 92103-3410 | 2012-07-16 |
Find all providers in SAN DIEGO |
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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.