Active NPI
Lawrence Stephen Burstein, PH.D.
- Clinical Psychologist
- Coral Springs, FL
National Provider Identifier
1487760559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY4686
- Practice address
- 1890 N University Dr
Suite 215
Coral Springs, FL 33071-8963 - Phone
- (954) 227-2700
- Fax
- (954) 227-2704
- NPI assigned
- Aug 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY4686 | FL | Primary |
Addresses
Primary practice location
1890 N University Dr
Suite 215
Coral Springs, FL 33071-8963
Mailing address
1890 N University Dr
Suite 215
Coral Springs, FL 33071-8963
Phone (954) 227-2700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY4686 | FL | MD | Clinical Psychologist |
| 4686 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindpath Health Florida, PLLC | Clinical | Past | Accepting new patients |
| Institute for Family Therapy Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Miami Lakes, FL
- NPI 1407837743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487760559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1890 N UNIVERSITY DR",
"address_2": "SUITE 215",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330718963",
"telephone_number": "954-227-2700",
"fax_number": "954-227-2704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1890 N UNIVERSITY DR",
"address_2": "SUITE 215",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330718963",
"telephone_number": "954-227-2700",
"fax_number": "954-227-2704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURSTEIN",
"first_name": "LAWRENCE",
"middle_name": "STEPHEN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY4686",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coral Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.