MEDICARE: DR. ROBBIE C. BURNETT PH.D., L.P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	9561	TX
2	101YM0800X	Mental Health Counselor	9561	TX
3	103TB0200X	Cognitive & Behavioral Psychologist	9561	TX
4	103TC0700X	Clinical Psychologist	9561	TN
5	103TC2200X	Clinical Child & Adolescent Psychologist	9561	TX
6	103TF0000X	Family Psychologist	9561	TX
7	103TF0200X	Forensic Psychologist	9561	TX
8	103T00000X	Psychologist	9561	TX
9	103TP2701X	Group Psychotherapy Psychologist	9561	TX

General Provider Information

NPI Number	:	1003967399
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBBIE C. BURNETT PH.D., L.P.C.

Provider Business Mailing Address
First Line	:	19826 SKYCOUNTRY LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77094-3017
Country	:	US
Telephone Number	:	281-580-7845
Fax Number	:	281-580-2244

Provider Business Practice Location Address
First Line	:	14343 TORREY CHASE BLVD
Second Line	:	SUITE I
City	:	HOUSTON
State	:	TX
Zip	:	77014-1659
Country	:	US
Telephone Number	:	281-580-7845
Fax Number	:	281-580-2244

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/15/2007
Last Update Date	:	09/11/2025

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