Individual provider Active NPI

Jodi Lin Burch, NPP

  • Psychiatric/Mental Health Nurse Practitioner
  • Saratoga Springs, NY
National Provider Identifier
1578722286
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
401130 Issued in NY
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

Updated by the provider on Jun 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101207000248 NY Practitioner - Nurse Practitioner 7012104862 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Parent and Child Society, Inc. CurrentSince May 19, 2019 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.

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

Verify at the official NPI Registry.