DR. MYRA CONNEL BURT PSY
NPI 1255455713
Psychologist in Fort Bragg, CA

Active since March 19, 2007
205 SOUTH ST, FORT BRAGG, CA 95437(707) 964-1251(707) 961-2722 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Myra Connel Burt Psy NPPES

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

DR. MYRA CONNEL BURT PSY (NPI 1255455713) is an individual psychologist in Fort Bragg, California, licensed in California (PSY15785) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1255455713
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. MYRA CONNEL BURTCredential: PSY
Location Address205 SOUTH STFort Bragg, CA 95437-5540
Mailing Address205 South StFort Bragg, CA 95437-5540 · (707) 964-1251 · Fax (707) 961-2722
Fax(707) 961-2722
Sole ProprietorNo
Enumeration DateMarch 19, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1255455713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY15785
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.
205 SOUTH ST, Fort Bragg, CA 95437

Other Identifiers 2

MedicaidFHC03967FCA
Medicare ID-Type Unspecified551813CA

Other Providers at the Same Location NPPES 20

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

Social Worker (Clinical)
205 SOUTH ST
FORT BRAGG, CA 95437
Dental Hygienist
205 SOUTH ST
FORT BRAGG, CA 95437
Internal Medicine
205 SOUTH ST
FORT BRAGG, CA 95437
Social Worker (Clinical)
205 SOUTH ST
FORT BRAGG, CA 95437
Social Worker (Clinical)
205 SOUTH ST
FORT BRAGG, CA 95437
Health Educator
205 SOUTH ST
FORT BRAGG, CA 95437
Acupuncturist
205 SOUTH ST
FORT BRAGG, CA 95437
Social Worker (Clinical)
205 SOUTH ST
FORT BRAGG, CA 95437

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Myra Burt's NPI number?

The NPI number for Myra Burt is 1255455713. It was assigned to this individual provider in the NPPES registry on March 19, 2007.

Where is Myra Burt located?

Myra Burt practices at 205 South St, Fort Bragg, CA 95437. The listed phone number is (707) 964-1251.

What is Myra Burt's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Myra Burt was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.