Active NPI
Dr Naeema Burgess Psychological Services PLLC
- Clinical Neuropsychologist
- Mount Vernon, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- Legal business name
- DR NAEEMA BURGESS PSYCHOLOGICAL SERVICES PLLC
- Practice address
- 6 Gramatan Ave Ste 202
Mount Vernon, NY 10550-3209 - Phone
- (347) 740-2640
- Fax
- (347) 487-3904
- NPI assigned
- Jun 18, 2024
- Organization subpart
- Yes
- Parent organization
- GIVING HOPE LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Naeema Burgess, MS, PSYD, LP
- Title
- Owner/Clinical Neuropsychologist/Ow
- Phone
- (336) 430-8253
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Neuropsychologist | 103G00000X | Primary | ||
| Developmental Disabilities Clinic/Center | 261QD1600X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X |
Addresses
Primary practice location
6 Gramatan Ave Ste 202
Mount Vernon, NY 10550-3209
Mailing address
111 N. 3 Rd Ave Ste 5T
Mount Vernon, NY 10550
Phone (336) 430-8253
Other practice location 1
111 N. 3 rd Ave Ste 5T
Mount Vernon, NY 10550
Phone (347) 740-2640
Other names 1
- Giving Hope LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Part of
- Giving Hope LLC
Locations
6 Gramatan Ave
Ste 202
Mount Vernon, NY 10550
Phone (347) 740-2640
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Clinic/Center
- Mount Vernon, NY
- NPI 1932658838
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Neuropsychologist
- Mount Vernon, NY
- NPI 1154521318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718668800000",
"number": "1326881160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 N. 3 RD AVE STE 5T",
"city": "MOUNT VERNON",
"state": "NY",
"postal_code": "10550",
"telephone_number": "336-430-8253",
"fax_number": "347-487-3904"
},
{
"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": "10550",
"country_code": "US",
"telephone_number": "347-740-2640",
"fax_number": "347-487-3904",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "DR NAEEMA BURGESS PSYCHOLOGICAL SERVICES PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GIVING HOPE LLC",
"enumeration_date": "2024-06-18",
"last_updated": "2024-06-18",
"certification_date": "2024-06-18",
"status": "A",
"authorized_official_last_name": "BURGESS",
"authorized_official_first_name": "NAEEMA",
"authorized_official_title_or_position": "OWNER/CLINICAL NEUROPSYCHOLOGIST/OW",
"authorized_official_telephone_number": "336-430-8253",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MS, PSYD, LP"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103G00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Neuropsychologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Giving Hope LLC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Mount Vernon, NY
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.