Burton J Zung, PHD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

21099 Issued in TX

Practice address

5658 Wescreek Dr Ste 400
Ste 400
Fort Worth, TX 76133

Phone

(972) 424-9212

Fax

(972) 509-1450

NPI assigned

Nov 8, 2006

Last updated

Nov 3, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Paul L Warren, PSYD, PC

  • Adult Mental Health Clinic/Center
  • Fort Worth, TX
  • NPI 1114487329
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320278400000",
    "number": "1386713691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5658 WESTCREEK DR STE 400",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761332254",
            "telephone_number": "972-424-9212",
            "fax_number": "972-509-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5658 WESCREEK DR STE 400",
            "address_2": "STE 400",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76133",
            "telephone_number": "972-424-9212",
            "fax_number": "972-509-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUNG",
        "first_name": "BURTON",
        "middle_name": "J",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2011-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "21099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "00U49F",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS LICENSE",
            "identifier": "21099",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deidra Zorn, NP
• Peter Zotor, MD
• Sajida Zubair
• Joshua Paul Zuber, RN
• Sally Davidson Zukoski
• Erika Zuniga Martinez, MPAS, PA-C
• Breanne Gabrielle Zuniga
• Rafael Antonio Zuniga III, LMSW
• Zuria Health Services PLLC
• Melissa Zurita, MS, LPC-ASSOCIATE

• Clinical Neuropsychologist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Clinical Neuropsychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; 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.