Jill Burkley PSYD LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

JILL BURKLEY PSYD LLC

Practice address

9 2ND St NW
Mason City, IA 50401-3201

Phone

(641) 424-7067

NPI assigned

Apr 9, 2015

Last updated

Apr 9, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jill Burkley, PSY.D.

Title

Clinical Psychologist

Phone

(641) 424-7067

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa Jean Bramer, LISW

  • Social Worker
  • Johnston, IA
  • NPI 1245516830
  NPD (past)
• Mary Brigid Christianson, LISW, RPT-S

  • Clinical Social Worker
  • Mason City, IA
  • NPI 1558417782
  NPD (past)

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428537600000",
    "number": "1831585512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 105TH ST",
            "city": "GENEVA",
            "state": "IA",
            "postal_code": "506337550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 2ND ST NW",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504013201",
            "telephone_number": "641-424-7067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILL BURKLEY PSYD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-09",
        "last_updated": "2015-04-09",
        "status": "A",
        "authorized_official_last_name": "BURKLEY",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "641-424-7067",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harsha R Jayawardena, MD
• Jaybird Holdings CMP LLC (Country Meadow Place)
• Rebecca Lynn Jenkins, D.O.
• Anthony Jennings
• Brianna D Jewell, DO
• JKD Investments, LLC (Willow Pointe Senior Living)
• Jared James Johanns, DPT
• Addison Johnson, LISW
• Breanna Jo Johnson, BA CADC
• Jolene Rebecca Johnson

• Clinical Psychologist in Mason City, IA
• Providers in Mason City, IA by specialty
• Clinical Psychologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; 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.