Organization Active NPI

Dr Naeema Burgess Psychological Services PLLC

  • Clinical Neuropsychologist
  • Mount Vernon, NY
National Provider Identifier
1326881160
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
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 LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Authorized official

Name
Dr. Naeema Burgess, MS, PSYD, LPNPI 1154521318
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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Clinical NeuropsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250220000470 NY Part B Supplier - Clinic/Group Practice 1355861493 Receives reassigned benefits from 1 practitioner
Practice locations: Mount Vernon, NY

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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.