Burgess Psychiatric Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

26NC04275400 Issued in NJ

Legal business name

BURGESS PSYCHIATRIC SERVICES

Practice address

629 E Wood St
Suite 108
Vineland, NJ 08360-3730

Phone

(856) 692-5600

Fax

(856) 692-5601

NPI assigned

Mar 4, 2014

Organization subpart

No

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

Authorized official

Name

Yvonne M Burgess, APNNPI 1013229822

Title

Apn

Phone

(856) 692-5600

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

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

• Yvonne M Burgess, APN

  • Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
  • Vineland, NJ
  • NPI 1013229822
  Medicare reassignment Authorized official
• Kimberly Sorensen, NP

  • Family Nurse Practitioner
  • Wildwood Crest, NJ
  • NPI 1447904347
  NPD (past)

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

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565136000000",
    "number": "1346665007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 E WOOD ST",
            "address_2": "SUITE 106-108",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083603730",
            "telephone_number": "856-692-5600",
            "fax_number": "856-692-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 E WOOD ST",
            "address_2": "SUITE 108",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083603730",
            "telephone_number": "856-692-5600",
            "fax_number": "856-692-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURGESS PSYCHIATRIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-04",
        "last_updated": "2019-08-07",
        "status": "A",
        "authorized_official_last_name": "BURGESS",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "APN",
        "authorized_official_telephone_number": "856-692-5600",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "26NC04275400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "address_1": "629 E Wood St",
            "address_2": "Suite 108",
            "city": "Vineland",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "083603730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Samuel Bucek
• Stacen Buchholz, DO
• Gary B Buck, MD
• Christopher Buono, RPH
• Kristen Buono
• Yvonne M Burgess, APN
• Burgher and Maron Pediatrics
• Sonia Y Burgher, M.D.
• Nicholas Burgin, PT
• Maria Burgos, LPN

• Community/Behavioral Health Agency in Vineland, NJ
• Providers in Vineland, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; 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.