Individual provider Active NPI

Arielle Rose Burdo, PSY.D

  • Clinical Child & Adolescent Psychologist
  • West Palm Beach, FL
National Provider Identifier
1205273703
Registry record updated Oct 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
PY9397 Issued in FL
Practice address
5841 Corporate Way
Suite 200
West Palm Beach, FL 33407-2039
Phone
(561) 684-1991
Fax
(561) 684-8582
NPI assigned
May 24, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X PY9397 FL Primary

Addresses

Primary practice location

5841 Corporate Way
Suite 200
West Palm Beach, FL 33407-2039

Mailing address

8089 Tumblestone CT
Apt 623
Delray Beach, FL 33446-4440
Phone (954) 993-1149

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20160405002345 FL Practitioner - Clinical Psychologist 3678871779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

5841 Corporate Way
Suite 200
West Palm Beach, FL 33407-2039
Phone (561) 684-1991

9085 Hagen Ranch Rd
Boynton Beach, FL 33472-7399
Phone (561) 684-1991

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ferd and Gladys Alpert Jewish Family & Childrens SVC of PLM BCH CurrentSince Sep 27, 2015 Accepting new patients
Alpert Jewish Family & Children Services, Inc Past Accepting new patients

Locations

9085 Hagen Ranch Rd
Boynton Beach, FL 33472
Phone (561) 684-1991

9810 Alt A1A
Ste 402
Palm Beach Gardens, FL 33410
Phone (561) 684-1991

5841 Corporate Way
Ste 200
West Palm Beach, FL 33407
Phone (561) 684-1991

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1369353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443657600000",
    "number": "1205273703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8089 TUMBLESTONE CT",
            "address_2": "APT 623",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334464440",
            "telephone_number": "954-993-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5841 CORPORATE WAY",
            "address_2": "SUITE 200",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072039",
            "telephone_number": "561-684-1991",
            "fax_number": "561-684-8582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDO",
        "first_name": "ARIELLE",
        "middle_name": "ROSE",
        "name_prefix": "Miss",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-24",
        "last_updated": "2015-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "FL",
            "license": "PY9397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.