JEFFREY W BURNETT HSPP
NPI 1720055304
Psychologist - Cognitive & Behavioral in South Bend, IN

Q: What is the provider's specialty?

The provider's specialty is Psychologist with taxonomy code 103TB0200X and a focus in Cognitive & Behavioral.

Active since March 02, 2006

611 LINCOLN WAY E, SOUTH BEND, IN 46601(574) 232-2255(574) 232-8968 Get Directions Write a Review

NPPES record last updated: December 10, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jeffrey W Burnett Hspp NPPES

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

JEFFREY W BURNETT HSPP (NPI 1720055304) is an individual cognitive & behavioral provider in South Bend, Indiana, licensed in Indiana (20041003A) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1720055304

Entity TypeIndividualMale

Primary Taxonomy103TB0200X

Provider Legal NameJEFFREY W BURNETTCredential: HSPP

Location Address611 LINCOLN WAY ESouth Bend, IN 46601-3220

Mailing Address611 Lincoln Way ESouth Bend, IN 46601-3220 · (574) 232-2255 · Fax (574) 232-8968

Phone(574) 232-2255

Fax(574) 232-8968

Sole ProprietorNo

Enumeration DateMarch 2, 2006

Last NPPES UpdateDecember 10, 2008

✔ NPI 1720055304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers

Taxonomy Code103TB0200X

License✔ Licensed in IN · 20041003A

Definition

A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.

611 LINCOLN WAY E, South Bend, IN 46601

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