Kevin Dale Burchby, PSYD is a
Psychologist based in La Jolla, California. Kevin Dale Burchby is licensed to practice in California (license number 31247) and his current practice location is
8950 Villa La Jolla Dr Ste B204, La Jolla, California. He can be reached at his office (for appointments etc.) via phone at
(858) 215-2675.
NPI number for Kevin Dale Burchby is 1154811206 and his current mailing address is Po Box 910646, San Diego, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1154811206.
Healthcare Provider's Profile
| Full Name | Kevin Dale Burchby |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist |
|---|
| Location | 8950 Villa La Jolla Dr Ste B204, La Jolla, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1154811206
- Provider Enumeration Date: 05/15/2018
- Last Update Date: 10/14/2019
Medical Identifiers
Medical identifiers for Kevin Dale Burchby such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154811206 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | 31247 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kevin Dale Burchby is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kevin Dale Burchby, PSYD
Po Box 910646,
San Diego, CA 92191-0646
Ph: (858) 692-3685 | Kevin Dale Burchby, PSYD
8950 Villa La Jolla Dr Ste B204,
La Jolla, CA 92037-1705
Ph: (858) 215-2675 |
Reviews and Comments