Burgess Psychotherapy, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

BURGESS PSYCHOTHERAPY, LLC

Practice address

2 Corporate Dr Ste 211
Trumbull, CT 06611-1376

Phone

(203) 815-8960

NPI assigned

Jan 8, 2020

Organization subpart

No

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

Authorized official

Name

Susan BurgessNPI 1528605680

Title

Owner

Phone

(203) 815-8960

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Burgess, LPC

  • Professional Counselor
  • Trumbull, CT
  • NPI 1528605680
  NPD Authorized official

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578441600000",
    "number": "1699315515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 THIMBLE ISLAND RD",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064055721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CORPORATE DR STE 211",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066111376",
            "telephone_number": "203-815-8960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURGESS PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-08",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A",
        "authorized_official_last_name": "BURGESS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-815-8960"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.fairfieldcountyfamilytherapy.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2 Corporate Dr Ste 211",
            "city": "Trumbull",
            "state": "CT",
            "country_code": "US",
            "postal_code": "066111376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Melissa Bromell
• Deborah D. Brown, LPC
• Habbiegale Tasha Brown, LMSW
• Karolina Bucci, APRN
• Pascal Bur, PTA
• Susan Burgess, LPC
• Bryan Burns, MD
• Jennifer A Burns, APRN
• Vincent Cadella
• Lindsey Rose Cafano, APRN

• Professional Counselor in Trumbull, CT
• Providers in Trumbull, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.

Verify at the official NPI Registry.