1. Home
  2. Directory
  3. Indiana
  4. South Bend
  5. Psychologist
  6. NPI Profile

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

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: August 09, 2026.

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
Open in Google Maps ↗

Other Identifiers 3

Other148470XIN · Unspecified
Medicaid200200770AIN
Medicare UPINS19173

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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.

ALEXANDRIA BURTON LSW
Social Worker
611 LINCOLN WAY E
SOUTH BEND, IN 46601
St. Joseph County (574) 360-4066
ELYSIA N TIDEY
Counselor
611 LINCOLN WAY E
SOUTH BEND, IN 46601
St. Joseph County (574) 360-4066
MRS. RACHAEL MARIE HAMMETT PC
Social Worker (Clinical)
611 LINCOLN WAY E
SOUTH BEND, IN 46601
St. Joseph County (574) 232-2255
LISA BALDERAS MA
Social Worker (Clinical)
611 LINCOLN WAY E
SOUTH BEND, IN 46601
St. Joseph County (574) 232-2255
WENDY E SARVARI MS
Social Worker (Clinical)
611 LINCOLN WAY E
SOUTH BEND, IN 46601
St. Joseph County (574) 232-2255
MICHELLE LYNN COUTO
Social Worker (Clinical)
611 LINCOLN WAY E
SOUTH BEND, IN 46601
St. Joseph County (574) 360-4066
CAMIE TYLER MSW
Social Worker (Clinical)
611 LINCOLN WAY E
SOUTH BEND, IN 46601
St. Joseph County (574) 232-2255
KARISSA D RYAN LMHC
Counselor (Mental Health)
611 LINCOLN WAY E
SOUTH BEND, IN 46601
St. Joseph County (574) 360-4066

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 Jeffrey Burnett's NPI number?

The NPI number for Jeffrey Burnett is 1720055304. It was assigned to this individual provider in the NPPES registry on March 2, 2006.

Where is Jeffrey Burnett located?

Jeffrey Burnett practices at 611 Lincoln Way E, South Bend, IN 46601. The listed phone number is (574) 232-2255.

What is Jeffrey Burnett's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

What insurance does Jeffrey Burnett accept?

Health plans from CareSource list Jeffrey Burnett as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jeffrey Burnett was last updated on December 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.