KELLY BURKHOUSE (NPI# 1972694248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972694248 |
| Entity Type | Individual |
| Full Name | KELLY BURKHOUSE |
| Credential | PHD |
| Practice Address |
500 Pine St Ste 3 Jamestown NY 14701-5331 |
| Mailing Address |
3787 Westman Rd Bemus Point NY 14712-9511 |
| Practice Telephone | 7164999245 |
| Mailing Telephone | 7164999245 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103T00000X | Psychologist | PS008930L | PA | Behavioral Health & Social Service Providers |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
011032 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01281507 | 05 |
| Street Address |
500 PINE ST STE 3 |
| City | JAMESTOWN |
| State | NY |
| Zip Code | 14701-5331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245408962 | Lynda Jean Harris | Social Worker | 500 Pine St Ste 3, Jamestown, NY 14701-5331 | 2008-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952964314 | Jennifer Ware | Driver | 116 Tower St, Jamestown, NY 14701 | 2019-04-20 |
| 1962979005 | Kimberly Marlene Crasti | Student in an Organized Health Care Education/Training Program | 64 Ames Ave, Jamestown, NY 14701 | 2018-10-26 |
| 1679055032 | Hannah Abbott | Student in an Organized Health Care Education/Training Program | 118 Superior St., Jamestown, NY 14701 | 2018-09-02 |
| 1669952172 | Taylor Marie Genco | Registered Nurse | 110 E 4th Street, Jamestown, NY 14701 | 2018-08-15 |
| 1487163978 | Molly Morgante | Physical Therapy Assistant | 410 Crossman Street, Jamestown, NY 14701 | 2017-09-27 |
| 1053832097 | Amber Nicole Caylor | Licensed Practical Nurse | 48 Chautauqua Avenue, Jamestown, NY 14701 | 2017-06-29 |
| 1821520370 | John Robert Ferry | Registered Nurse | 500 Pine St., Suite #15, Jamestown, NY 14701 | 2017-04-03 |
| 1467905638 | Mental Health Association In Chautauqua County | Case Management | 31 Water Street, Suite 7, Jamestown, NY 14701 | 2016-07-25 |
| 1518336387 | Tracy Dudley | Licensed Practical Nurse | 764 Harding Ave, Jamestown, NY 14701 | 2015-09-22 |
| 1174922405 | Sylvia A Emerling | Social Worker | 332 East 4th St, Jamestown, NY 14701 | 2014-08-22 |
| Find all providers in zip 14701 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386985794 | Minou Alexander | Psychologist | 5100 O'byrner Ferry Rd., Sierra Conservation Center, Jamestown, CA 95327 | 2013-03-11 |
| 1003970054 | Sean William Seibert | Psychologist | 515 Pine Street, Jamestown, NY 14701-5315 | 2006-12-21 |
| 1417977463 | John D Collins | Psychologist | 302 2nd Avenue Nw, Jamestown, ND 58401 | 2006-07-20 |
| 1508822057 | Ann S Zartler | Psychologist | 30 Juniper Cir, Jamestown, RI 02835-2919 | 2006-04-25 |
| 1942291968 | Frederick Verdonik | Psychologist | 51 Glasgow Ave, Jamestown, NY 14701-6413 | 2005-10-31 |
| 1558913269 | Heather Mcconnell | Psychologist | 520 3rd St Nw, Jamestown, ND 58401-2968 | 2019-07-12 |
| 1467705822 | Ann E Engel | Psychologist | 2605 Circle Dr, Jamestown, ND 58401 | 2012-10-23 |
| 1922387950 | Samantha Lynn Beauchman | Psychologist | 300 2nd Ave Ne, Jamestown, ND 58401-3373 | 2011-08-08 |
| 1558407916 | Lynne E. Sullivan | Psychologist | 2605 Circle Dr, Jamestown, ND 58401-6905 | 2007-01-30 |
| 1326184706 | Joseph Belanger | Psychologist | 2605 Circle Dr, Jamestown, ND 58401-6905 | 2007-01-30 |
| Find all providers in JAMESTOWN | ||||
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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.