Burdman Group, Inc.

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

04-1822 Issued in OH

Legal business name

BURDMAN GROUP, INC.

Doing business as

Riverbend Center

Practice address

3120 W Market St
Warren, OH 44485-3069

Phone

(330) 898-6692

NPI assigned

Jan 30, 2006

Last updated

Nov 1, 2007By 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

Mark Wingert

Title

Controller

Phone

(330) 743-9275

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Riverbend Center Doing business as

Locations

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1457322448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 BROADWAY AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041752",
            "telephone_number": "330-743-9275",
            "fax_number": "330-743-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 W MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444853069",
            "telephone_number": "330-898-6692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURDMAN GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-30",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "WINGERT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "330-743-9275"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "OH",
            "license": "0605",
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "OH",
            "license": "04-1822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2497605",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10088",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverbend Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jared Daniel Bunevich, D.O.
• Jenna Buonavolonta, PA-C
• Stephanie Burbick, FNP-C
• Amy R Burch
• Burdman Group Inc.
• Linda J Burger
• Brett Burgett
• Marjorie Burin, M.S. ED., P.C.
• John Mark Burkey, M.A.
• Laura Lee Burkey, CDCA

• Mental Illness Community Based Residential Treatment Facility in Warren, OH
• Providers in Warren, OH by specialty
• Mental Illness Community Based Residential Treatment Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.