Shari Bursztyn, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

35S100451100 Issued in NJ

Practice address

101 Cedar LN
Ste 304
Teaneck, NJ 07666-4417

Phone

(917) 204-5007

NPI assigned

Dec 4, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vicki Barnett Psy D PCGroup PAC ID 4183645575, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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

• Vicki Barnett Psy D PC

  • Psychoanalyst
  • Englewood, NJ
  • NPI 1447463971
  Medicare reassignment Care Compare group NPD
• Shari Bursztyn PHD- Psych Services

  • Community/Behavioral Health Agency
  • Ridgewood, NJ
  • NPI 1376083840
  NPD (past) Authorized official

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490745600000",
    "number": "1437217395",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CEDAR LN",
            "address_2": "STE 304",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664417",
            "telephone_number": "917-204-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURSZTYN",
        "first_name": "SHARI",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2017-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35S100451100",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "014085",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sasha Bueno, TSLD
• Richard Edward Buffong, D.M.D
• Rochelle Bukatman, O.T.R.
• Amanda Burbank
• Rose Burstein, MA CCC-SLP
• Antoinette Bush, DVM
• Bryan Guillermo Cabezas
• Puritha Cahill
• Liz Calderon, FNP-C
• Victor Aaron Calderon Sr., PSYA.D., SCPSYA

• Psychologist in Teaneck, NJ
• Providers in Teaneck, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; 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.