BRANDI BURCHAM - NPI 1306492509 - Psychologist in San Diego, CA

Q: What is Brandi Burcham's NPI number?

The NPI number for Brandi Burcham is 1306492509. It was assigned to this individual provider in the NPPES registry on August 13, 2019.

Q: What is Brandi Burcham'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 Brandi Burcham was last updated on March 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 Brandi Burcham NPPES

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

BRANDI BURCHAM (NPI 1306492509) is an individual clinical provider in San Diego, California, licensed in California (PSY31148) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1306492509

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameBRANDI BURCHAM

Location Address1401 BROADWAYSan Diego, CA 92101-5710

Mailing AddressPo Box 421141San Diego, CA 92142-1141 · (619) 276-8112 · Fax (619) 276-8230

Phone(619) 276-8112

Sole ProprietorNo

Enumeration DateAugust 13, 2019

Last NPPES UpdateMarch 22, 2024

NPPES CertifiedMarch 22, 2024

✔ NPI 1306492509 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 CA · PSY31148

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.

1401 BROADWAY, San Diego, CA 92101

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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.

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