Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1255455713 Individual Practitioner Female Practitioner

Myra Connel Burt , PSY

Psychologist • Fort Bragg, CA

Professional Overview & Biography Verified Profile Summary

Myra Burt, PSY is a registered healthcare professional specializing in Psychologist in Fort Bragg, CA. Practice services are available at 205 SOUTH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

205 South St

Fort Bragg, CA 954375540

Telephone 7079641251
Fax 7079612722
Associated Practice Facility / Clinic
🏢 Mendocino Coast Clinics Inc Facility NPI 1083783757

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Fort Bragg, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.0 Yrs
State Avg: 24.2 Yrs
Regional Practice Density
4 Specialists

Practicing in Fort Bragg, CA (7695 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License CA PSY15785

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
FHC03967F (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Richard Jaulus , LCSW

Social Worker - Clinical

NPI 1013031079

Licensed Clinical Social Worker

Kimberly Celeri , RDH

Dental Hygienist

NPI 1013257831

Registered Dental Hygienist

Dr. John Wallace , MD

Internal Medicine

NPI 1023079803

Doctor of Medicine (M.D.)

Rena Blauner , LCSW

Social Worker - Clinical

NPI 1063537801

Licensed Clinical Social Worker

NPI 1104941160
John Ramirez , LCSW

Social Worker - Clinical

NPI 1144793639

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 205 SOUTH ST, FORT BRAGG, CA 954375540 (Tel: 7079641251)

📍
Updated Business Mailing Address July 08, 2007

Registered at 205 SOUTH ST, FORT BRAGG, CA 954375540 (Tel: 7079641251)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MYRA BURT, PSY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #PSY15785 in CA)

🟢
Initial NPI Registration & Enumeration March 19, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255455713
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 19, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

205 South St

Fort Bragg, CA 954375540

Phone: 7079641251

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.