Active NPI
Jessica Lindsay Burris, MD
- Psychiatry Physician
- West Haven, CT
National Provider Identifier
1780146944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 1.069154
- Practice address
- 925 Campbell Ave
West Haven, CT 06516 - Phone
- (203) 932-5711
- NPI assigned
- Apr 4, 2019
- Last updated
- Mar 5, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 1.069154 | CT | Primary |
Addresses
Primary practice location
925 Campbell Ave
West Haven, CT 06516
Mailing address
925 Campbell Ave
West Haven, CT 06516
Phone (203) 932-5711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1.069154 | CT | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709596800000",
"number": "1780146944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "925 CAMPBELL AVE",
"city": "WEST HAVEN",
"state": "CT",
"postal_code": "06516",
"telephone_number": "203-932-5711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 CAMPBELL AVE",
"city": "WEST HAVEN",
"state": "CT",
"postal_code": "06516",
"telephone_number": "203-932-5711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURRIS",
"first_name": "JESSICA",
"middle_name": "LINDSAY",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-04",
"last_updated": "2024-03-05",
"certification_date": "2024-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CT",
"license": "1.069154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.