Active NPI
Jodi Lin Burch, NPP
- Psychiatric/Mental Health Nurse Practitioner
- Saratoga Springs, NY
National Provider Identifier
1578722286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 401130
- Practice address
- 30 Crescent Ave
Saratoga Springs, NY 12866-5142 - Phone
- (518) 584-3600
- Fax
- (518) 583-9301
- NPI assigned
- Jun 6, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 401130 | NY | Primary |
Addresses
Primary practice location
30 Crescent Ave
Saratoga Springs, NY 12866-5142
Mailing address
530 Franklin St
Schenectady, NY 12305-2008
Phone (518) 381-8911
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Parent and Child Society, Inc. | Current | Accepting new patients |
Locations
60 Academy Rd
Albany, NY 12208
Phone (518) 292-5499
530 Franklin St
Schenectady, NY 12305
Phone (518) 292-5499
Organizations & group practices 1
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.
-
- Social Worker
- Schenectady, NY
- NPI 1003901695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560816000000",
"number": "1578722286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 FRANKLIN ST",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123052008",
"telephone_number": "518-381-8911",
"fax_number": "518-514-1383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 CRESCENT AVE",
"city": "SARATOGA SPRINGS",
"state": "NY",
"postal_code": "128665142",
"telephone_number": "518-584-3600",
"fax_number": "518-583-9301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURCH",
"first_name": "JODI",
"middle_name": "LIN",
"name_prefix": "Ms.",
"credential": "NPP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-06",
"last_updated": "2019-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "401130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saratoga Springs, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.