JEFFREY M BURCH (PSY.D.) – Clinical Psychologist, NPI 1225148224

JEFFREY M BURCH (PSY.D.) is a healthcare provider. based in Pittsburg, Kansas. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. They hold a License No. 1369 (KS). The NPI Number for JEFFREY M BURCH (PSY.D.) is 1225148224

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
JEFFREY M BURCH (PSY.D.)
NPI
1225148224
Phone
(620) 231-1068
Address
2711 S ROUSE ST STE C&D
Enumeration Date
30 August 2006
Last Update Date
26 June 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6202315130
Graduation Year
2005 (21 years ago)
PAC ID
2062418205
Group Practice PAC ID
3072955616
Professional Enrollment ID
I20061011000770
Address ID
KS667626601PI911XXDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

282 CLINICAL PSYCHOLOGIST in KS

Provider Addresses for JEFFREY M BURCH (PSY.D.)

  • 2711 S ROUSE ST STE C&D

    PITTSBURG, KS 667626620

    Phone: (620) 231-1068

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-10-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20061011000770IClinical PsychologistKSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 66762)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072955616View full group profile
NameSpecialtyState
Nurse PractitionerKS
Clinical Social WorkerIN
Clinical Social WorkerKS
Mental Health CounselorKS
Clinical Social WorkerKS
Clinical Social WorkerKS
Mental Health CounselorKS
Nurse PractitionerKS
Nurse PractitionerKS
Nurse PractitionerKS

Reviews

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Frequently asked questions

How is JEFFREY M BURCH (PSY.D.) identified in CMS data?
CMS-hosted NPPES data lists JEFFREY M BURCH (PSY.D.) with NPI 1225148224.
Is JEFFREY M BURCH (PSY.D.) still practicing?
JEFFREY M BURCH (PSY.D.) is currently listed as active in the public NPI registry.
What taxonomy line describes JEFFREY M BURCH (PSY.D.)?
For research purposes, treat JEFFREY M BURCH (PSY.D.) as Clinical Psychologist in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for JEFFREY M BURCH (PSY.D.)?
JEFFREY M BURCH (PSY.D.)'s geographic hint is Pittsburg, Kansas in our summary view.
Why does JEFFREY M BURCH (PSY.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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