J. Randolph Burnham, PHD
Psychologist in Westport, Connecticut
1417005554- Practice location
- 18 Kings Hwy S, Westport, CT 06880-4710
- Phone
- 203-227-7199
- Fax
- —
- Last updated
- September 11, 2025
J. Randolph Burnham is a Psychologist based in Westport, CT. J. Randolph Burnham practices in Westport, CT and has the professional credentials of PHD. The NPI Number for J. Randolph Burnham is 1417005554 and holds a License No. 1376 (MI). The current practice location address for J. Randolph Burnham is 18 Kings Hwy S, Westport, CT 06880-4710 and can be reached out via phone at 203-227-7199.
Provider Profile Details
- NPI Number
- 1417005554
- Provider Name
- J. Randolph Burnham
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 18 Kings Hwy S, Westport, CT 06880-4710
- Phone Number
- 203-227-7199
- Primary Taxonomy
- Psychologist · 103T00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 8, 2007
- Last Update Date
- September 11, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 18 Kings Hwy S
Westport, CT 06880-4710 - City
- Westport
- State
- Connecticut
- Zip
- 06880-4710
- Phone Number
- 203-227-7199
Provider Business Mailing Address Details
- Address
- 18 Kings Hwy S
Westport, CT 06880-4710 - City
- Westport
- State
- CT
- Zip
- 06880-4710
- Phone Number
- 203-227-7199
License Information
- License Number (1)
- 1376
- License State (1)
- MI
- Taxonomy (1)
- Psychologist · 103T00000X
- License Number (2)
- 464
- License State (2)
- CT
- Taxonomy (2)
- Psychologist, Clinical · 103TC0700X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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- Dr. Amanda J Letard, PHDPsychologist · NPI 1083169676
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Frequently Asked Questions
What is the NPI number of J. Randolph Burnham, PHD?
The NPI number of J. Randolph Burnham, PHD is 1417005554. It was assigned on January 8, 2007 and is currently active in the NPPES registry.
What is the specialty of J. Randolph Burnham, PHD?
J. Randolph Burnham, PHD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in MI under license number 1376.
Where does J. Randolph Burnham, PHD practice?
The practice location is 18 Kings Hwy S, Westport, CT 06880-4710. The office can be reached at 203-227-7199 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417005554 directly on the NPPES registry website.