Individual provider Active NPI

Sharon Lesley Burge, BSC, MSC, PGDIP, PGC

  • School Psychologist
  • Columbus, IN
National Provider Identifier
1821810037
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
15192091 Issued in IN
Practice address
1200 Central Ave
Columbus, IN 47201-6001
Phone
(812) 376-4397
NPI assigned
Oct 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 15192091 IN Primary

Addresses

Primary practice location

1200 Central Ave
Columbus, IN 47201-6001

Mailing address

1200 Central Ave
Columbus, IN 47201-6001
Phone (812) 376-4397

Other practice location 1

1209 Sycamore St
Columbus, IN 47201-4127
Phone (812) 376-4569

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
15192091INMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bartholomew Consolidated School Corporation PastSince Nov 3, 2024 Accepting new patients

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": "1730160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1821810037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CENTRAL AVE",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472016001",
            "telephone_number": "812-376-4397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CENTRAL AVE",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472016001",
            "telephone_number": "812-376-4397"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1209 Sycamore St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "IN",
            "postal_code": "472014127",
            "country_code": "US",
            "telephone_number": "812-376-4569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURGE",
        "first_name": "SHARON",
        "middle_name": "LESLEY",
        "credential": "BSC, MSC, PGDIP, PGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-29",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "IN",
            "license": "15192091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.