Naeema Burgess, PSYD, ABSNP-D, LP

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

025364 Issued in NY

Practice address

6 Gramatan Ave Ste 202
Mount Vernon, NY 10550-3209

Phone

(347) 740-2640

Fax

(347) 487-3904

NPI assigned

Jul 24, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr Naeema Burgess Psychological Services PLLC

  • Clinical Neuropsychologist
  • Mount Vernon, NY
  • NPI 1326881160
  Medicare reassignment NPD Authorized official
• Giving Hope LLC

  • Clinic/Center
  • Mount Vernon, NY
  • NPI 1932658838

  School

  NPD Authorized official
• Giving Hope Sobeca

  • Clinic/Center
  • Mount Vernon, NY
  • NPI 1538752399

  Psychologist

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1154521318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N. 3RD AVE., STE. 5T",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105501377",
            "telephone_number": "336-430-8253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 GRAMATAN AVE STE 202",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105503209",
            "telephone_number": "347-740-2640",
            "fax_number": "347-487-3904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 N. 3 rd Ave Ste 5T",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "NY",
            "postal_code": "105501055",
            "country_code": "US",
            "telephone_number": "347-740-2640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "NAEEMA",
        "name_prefix": "Dr.",
        "credential": "PSYD, ABSNP-D, LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-24",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "025364",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CT",
            "license": "5267043746",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NY",
            "license": "2160719",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "025364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "hr.givinghopellc.org",
            "affiliation": "N",
            "endpointDescription": "Secure database",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "111 N. 3 rd Ave Ste 5T",
            "city": "Mount Vernon",
            "state": "NY",
            "country_code": "US",
            "postal_code": "10550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer Brusca
• Daisy Bryan
• Leslie Bryant
• Opal Buchanan
• Daija Bullard
• Nuruddin Burns
• Muriel L Burrell, LPN
• Elspeth Burton
• Lyncent Veronica Burton, LICENSED PRACTICAL N
• Valneo M Buttari, MD

• Clinical Neuropsychologist in Mount Vernon, NY
• Providers in Mount Vernon, NY by specialty
• Clinical Neuropsychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.