NPIMap

Organization Active NPI

Burge Psychological Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hoover, AL
National Provider Identifier
1225650609
Registry record updated May 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
BURGE PSYCHOLOGICAL SERVICES
Practice address
2 Riverchase Office PLZ Ste 115
Hoover, AL 35244-2810
Phone
(205) 403-0955
Fax
(205) 403-0956
NPI assigned
May 8, 2020
Last updated
May 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2020

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

Authorized official

Name
Dr. Mark Harold Burge, PH.D.NPI 1366488710
Title
Owner
Phone
(205) 403-0955

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2 Riverchase Office PLZ Ste 115
Hoover, AL 35244-2810

Mailing address

2 Riverchase Office PLZ Ste 115
Hoover, AL 35244-2810
Phone (205) 403-0955

National Provider Directory

National Provider Directory

Locations

2 Riverchase Office Plz
Ste 115
Hoover, AL 35244
Phone (205) 403-0955

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1588896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588896000000",
    "number": "1225650609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 RIVERCHASE OFFICE PLZ STE 115",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352442810",
            "telephone_number": "205-403-0955",
            "fax_number": "205-403-0956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 RIVERCHASE OFFICE PLZ STE 115",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352442810",
            "telephone_number": "205-403-0955",
            "fax_number": "205-403-0956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURGE PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-08",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A",
        "authorized_official_last_name": "BURGE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "HAROLD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-403-0955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoover, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.