Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

J. Randolph Burnham, PHD

Individual provider Psychologist · NPI 1417005554

J. Randolph Burnham, PHD is a Clinical Psychologist in Westport, Connecticut. Qualified in 1971, 55 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Connecticut and Michigan.

Years since qualifying
55
Licensed in
CT, MI
In the registry since
2007
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

18 Kings Hwy S
Westport, CT 06880-4710
Phone: (203) 227-7199
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 1376 (MI)
Clinical Psychologist Taxonomy 103TC0700X · Licence 464 (CT)

Record details

NPI number1417005554
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedJanuary 8, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address18 Kings Hwy S, Westport, CT 06880-4710

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1971 (55 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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