Individual provider Active NPI

Amy N Burzinski-Gorfinkel, LISW

  • Social Worker
  • Beachwood, OH
National Provider Identifier
1760795124
Registry record updated Jul 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
I.0009115 Issued in OH
Practice address
3659 Green Rd
Ste 222
Beachwood, OH 44122-5727
Phone
(216) 570-1597
Fax
(216) 834-0014
NPI assigned
Jul 14, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X I.0009115 OH Primary

Addresses

Primary practice location

3659 Green Rd
Ste 222
Beachwood, OH 44122-5727

Mailing address

3659 Green Rd
Ste 222
Beachwood, OH 44122-5727
Phone (216) 570-1597

Other names 1

  • Amy N Burzinski Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191217001874 OH Practitioner - Clinical Social Worker 9739331794 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Oren Meyers PH D LLC Social Worker Past Accepting new patients
Psychology Consultants Inc PastSince Nov 7, 1997 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/psychologyconsultantsinc/r4/

Organizations & group practices 3

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": "1279065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279065600000",
    "number": "1760795124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3659 GREEN RD",
            "address_2": "STE 222",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225727",
            "telephone_number": "216-570-1597",
            "fax_number": "216-834-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3659 GREEN RD",
            "address_2": "STE 222",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225727",
            "telephone_number": "216-570-1597",
            "fax_number": "216-834-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURZINSKI-GORFINKEL",
        "first_name": "AMY",
        "middle_name": "N",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-14",
        "last_updated": "2010-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I.0009115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "BURZINSKI",
            "middle_name": "N",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.