DR. CHARLES ERNEST BURT PH.D. - NPI 1043362197

Q: What is Charles Burt's NPI number?

The NPI number for Charles Burt is 1043362197. It was assigned to this individual provider in the NPPES registry on January 17, 2007.

Q: What is Charles Burt's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Charles Burt was last updated on February 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Dr. Charles Ernest Burt Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHARLES ERNEST BURT PH.D. (NPI 1043362197) is an individual clinical provider in Reston, Virginia, licensed in Virginia (0810001508) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1043362197

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. CHARLES ERNEST BURTCredential: PH.D.

Location Address1800 MICHAEL FARADAY DR STE 206Reston, VA 20190-5312

Mailing Address22563 Forest Manor DrAshburn, VA 20148-6900 · (703) 899-3290 · Fax (703) 723-9404

Phone(703) 899-3290

Fax(703) 723-9404

Sole ProprietorNo

Medical School CMSOtherGraduated 1986

Enumeration DateJanuary 17, 2007

Last NPPES UpdateFebruary 29, 2020

✔ NPI 1043362197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in VA · 0810001508

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1800 MICHAEL FARADAY DR STE 206, Reston, VA 20190

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Secondary Practice Locations 2

Location 121351 Gentry Dr Ste 250Sterling, VA 20166-8514 · Phone (703) 899-3290 · Fax (703) 723-9404

Location 222563 Forest Manor DrAshburn, VA 20148-6900 · Phone (703) 899-3290 · Fax (703) 723-9404

Other Identifiers 3

Other54-1848078Federal Employer Id #

Other107617VA · Anthem Bxbs Reston Addr

Other031200VA · Value Options Provider Id

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Charles Ernest Burt Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42388050

PECOS Enrollment IDI20081003000593

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20190 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$194.86 typical visit price

range $65.18 – $194.86

Typical copayment $48.71 (range $16.29 – $48.71)

Most-billed visit code 99205

Established Patient

$113.72 typical visit price

range $21.40 – $158.88

Typical copayment $28.43 (range $5.35 – $39.72)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VIRGINIA MENTAL HEALTH INC

Psychiatry & Neurology (Psychiatry)