Shari Bursztyn PHD- Psych Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

35S1004511001 Issued in NJ

Legal business name

SHARI BURSZTYN PHD- PSYCH SERVICES

Practice address

304 S Van Dien Ave
Ridgewood, NJ 07450-5200

Phone

(917) 204-5007

Fax

(201) 445-9535

NPI assigned

Mar 3, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Shari Bursztyn, PHDNPI 1437217395

Title

Psychologist

Phone

(917) 204-5007

Specialties & licenses 1

Addresses

Practitioners 1

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

• Shari Bursztyn, PH.D.

  • Psychologist
  • Teaneck, NJ
  • NPI 1437217395
  NPD (past) Authorized official

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

{
    "created_epoch": "1488499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488499200000",
    "number": "1376083840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1366 DICKERSON RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076662816",
            "telephone_number": "917-204-5007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 S VAN DIEN AVE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074505200",
            "telephone_number": "917-204-5007",
            "fax_number": "201-445-9535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARI BURSZTYN PHD- PSYCH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-03",
        "last_updated": "2017-03-03",
        "status": "A",
        "authorized_official_last_name": "BURSZTYN",
        "authorized_official_first_name": "SHARI",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "917-204-5007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "35S1004511001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Tuzio Shammas, MD
• Shannon Santoro
• Stephanie Shapiro
• Tatiana Sharahy, M.D.
• Shari a Becker, PH.D., LLC
• Umar Jamshed Sharif Khawaja, MBBS
• Siddharth Sharma, MD
• Maria Shea, REGISTERED DIETITIAN
• Tuti Fareen Sheiban, MD
• Leo Tsing Shen, D.M.D.

• All providers in Ridgewood, NJ
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2017; 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.