Brian Burgess, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

4408 Issued in NJ

Practice address

1944 State Route 33
Suite 202
Neptune, NJ 07753-4862

Phone

(732) 988-3441

Fax

(732) 988-7123

NPI assigned

Mar 7, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Clinical Psychologist

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• BB Counseling LLC

  • Counseling Psychologist
  • Red Bank, NJ
  • NPI 1821245739

  NJ

  Medicare reassignment NPD Authorized official
• RK Psychology and Neuropsychology Services

  • Clinical Neuropsychologist
  • Toms River, NJ
  • NPI 1992843924

  NJ

  Medicare reassignment NPD

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255462008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1944 STATE ROUTE 33",
            "address_2": "SUITE 202",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534862",
            "telephone_number": "732-988-3441",
            "fax_number": "732-988-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1944 STATE ROUTE 33",
            "address_2": "SUITE 202",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534862",
            "telephone_number": "732-988-3441",
            "fax_number": "732-988-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "4408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Building Bridges Behavior Therapy
• Building Bridges Behavior Therapy
• Constantine Spyridakis Bulauitan, MD
• Danielle Kristan Bulauitan, M.S, PA-C
• Julianna Lina Bulsiewicz
• Lisa M Burkard, RPH
• Rebeccah Sue Burnett, LPC
• Cheryl Burns, BA
• Mae Francis Burrell, RN.C
• Alexander Buslov, MD

• All providers in Neptune, NJ
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.