Joanne Burgio PHD LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

JOANNE BURGIO PHD LLC

Practice address

943 W Overland Rd
Meridian, ID 83642-6541

Phone

(208) 519-9102

Fax

(208) 550-3483

NPI assigned

Dec 28, 2018

Last updated

Mar 6, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joanne Burgio, PHDNPI 1396852083

Title

Owner/Provider

Phone

(208) 519-9102

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joanne Citron Burgio, PH.D.

  • Clinical Psychologist
  • Meridian, ID
  • NPI 1396852083
  NPD Authorized official

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

{
    "created_epoch": "1545955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1437621646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "943 W OVERLAND RD",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426541",
            "telephone_number": "208-519-9102",
            "fax_number": "208-550-3483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "943 W OVERLAND RD",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426541",
            "telephone_number": "208-519-9102",
            "fax_number": "208-550-3483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOANNE BURGIO PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-28",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "BURGIO",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "208-519-9102",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396852083",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Renee Johanson, LCPC
• John T. Witte, M.D., P.a.
• Mariah Johns Garcia, LCSW
• Michelle Kidder Johns, PT

• Adult Mental Health Clinic/Center in Meridian, ID
• Providers in Meridian, ID by specialty
• Adult Mental Health Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.