NPPES file of Aug 9, 2026

Jeffrey W. Burnett, HSPP

Cognitive & Behavioral Psychologist · South Bend, IN

Jeffrey W. Burnett, HSPP is a cognitive & behavioral psychologist with a practice address in South Bend, Indiana, and NPI 1720055304, issued on Mar 2, 2006. Check the license (Indiana 20041003A, as entered in NPPES) with the Indiana board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1720055304
Name
Jeffrey W. Burnett
Credential
HSPP
Primary taxonomy
Cognitive & Behavioral Psychologist 103TB0200X
License number
20041003A IN
Self-reported in NPPES; status is on the state search
Practice location
611 Lincoln Way E, South Bend, IN 46601
Phone
(574) 232-2255
Enumerated
Mar 2, 2006
Record last updated
Dec 10, 2008 (not updated in 18 years: call before relying on the address or phone)
Fax
(574) 232-8968
Medicaid ID
200200770A IN
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 611 Lincoln Way E

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Jeneva Adams, MSClinical Social Worker1528213675
  2. Lisa Balderas, MAClinical Social Worker1265664510
  3. Austin Blue, LSWSocial Worker1679369904
  4. Angelene Bradley, MAClinical Social Worker1629302302
  5. Alexandria Burton, LSWSocial Worker1003534991
  6. Michelle CoutoClinical Social Worker1316679954

Verify Jeffrey W. Burnett in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Indiana board licenses this profession
    Search for license 20041003A
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Indiana license search

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Cognitive & Behavioral Psychologist providers in Indiana

There are 21 cognitive & behavioral psychologist records in Indiana. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

Other cognitive & behavioral psychologist records in Indiana

  1. Susan Ball, PHDIndianapolis, IN1215698121
  2. Amy Beaven, MS, APASouth Bend, IN1689830283
  3. Kelly Bradley, PSYDIndianapolis, IN1578963187
  4. Amanda Broderick, PHDIndianapolis, IN1720752553
  5. Nicole GebadloSouth Bend, IN1134302987
  6. Shannon Harris, PSYDIndianapolis, IN1689492175
  7. Tamika Harvey, MDIndianapolis, IN1871445478
  8. Andrew Heckman, PH.D.Bloomington, IN1265663678
  9. Thomas Johnson, PH.D., HSPPTerre Haute, IN1194880088
  10. Jung Hwa Kang, PSYDIndianapolis, IN1598593188

Common questions

What is Jeffrey W. Burnett, HSPP's NPI number?

Jeffrey W. Burnett, HSPP's National Provider Identifier (NPI) is 1720055304, issued on Mar 2, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Jeffrey W. Burnett, HSPP located?

The NPPES record lists a practice address at 611 Lincoln Way E, South Bend, IN, 46601. Phone: (574) 232-2255. Providers update this record themselves, so call before visiting.

How can I verify Jeffrey W. Burnett, HSPP's license?

NPPES lists Indiana license number 20041003A, as entered by the provider. Search the Indiana board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.