Active NPI
Anne Castley Burdzy, PHD
- Psychologist
- Williamstown, NJ
National Provider Identifier
1508486127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 35SI00608500
- Practice address
- 375 N Main St Ste B6
Williamstown, NJ 08094-1475 - Phone
- (856) 887-1590
- NPI assigned
- Apr 23, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS018500 | PA | |
| Psychologist | 103T00000X | 35SI00608500 | NJ | Primary |
Addresses
Primary practice location
375 N Main St Ste B6
Williamstown, NJ 08094-1475
Mailing address
35 Spring Mill LN
Cherry Hill, NJ 08003-2655
Phone (856) 887-1590
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 |
|---|---|---|---|
| 35SI00608500 | NJ | MD | Psychologist |
| PS018500 | PA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587600000000",
"number": "1508486127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 SPRING MILL LN",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080032655",
"telephone_number": "856-887-1590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 N MAIN ST STE B6",
"city": "WILLIAMSTOWN",
"state": "NJ",
"postal_code": "080941475",
"telephone_number": "856-887-1590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURDZY",
"first_name": "ANNE",
"middle_name": "CASTLEY",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-23",
"last_updated": "2020-04-23",
"certification_date": "2020-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS018500",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NJ",
"license": "35SI00608500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Williamstown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.