J. RANDOLPH BURNHAM PH.D.
NPI 1417005554
Psychologist in Westport, CT
About J. Randolph Burnham Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
J. RANDOLPH BURNHAM PH.D. (NPI 1417005554) is an individual psychologist in Westport, Connecticut, licensed in Michigan (1376) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1971).
NPPES Registry Identity
Specialties & Licenses 2
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
J. Randolph Burnham 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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 J. Randolph Burnham's NPI number?
The NPI number for J. Randolph Burnham is 1417005554. It was assigned to this individual provider in the NPPES registry on January 8, 2007.
Where is J. Randolph Burnham located?
J. Randolph Burnham practices at 18 Kings Hwy S, Westport, CT 06880. The listed phone number is (203) 227-7199.
What is J. Randolph Burnham's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is J. Randolph Burnham enrolled in Medicare?
Yes. J. Randolph Burnham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for J. Randolph Burnham was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.