James Kelly Burgin, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1716 Issued in NC

Practice address

852 Merrimon Ave
Asheville, NC 28804-2405

Phone

(828) 251-6091

Fax

(828) 251-6911

NPI assigned

Aug 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Carolina Mountain Psychiatry PA

  • Adolescent and Children Mental Health Clinic/Center
  • Asheville, NC
  • NPI 1083641450
  NPD (past)
• NC DHHS Child and Family Well-Being

  • Early Intervention Provider Agency
  • Asheville, NC
  • NPI 1942424387
  NPD (past)
• Woodridge Psychological Assoc PA

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rutherfordton, NC
  • NPI 1013951268
  NPD (past)

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340236800000",
    "number": "1861405532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "852 MERRIMON AVE",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288042405",
            "telephone_number": "828-251-6091",
            "fax_number": "828-251-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "852 MERRIMON AVE",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288042405",
            "telephone_number": "828-251-6091",
            "fax_number": "828-251-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGIN",
        "first_name": "JAMES",
        "middle_name": "KELLY",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2012-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "1716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3403418",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD",
            "identifier": "03400",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000790",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Burgess, NCC, LCMHCA, LCAS-A
• Kaylee Michelle Burgess, LCMHC, NCC
• Kristina Burgess, LCMHC
• Stephen Eric Burgess, LISW-CP
• Thelma Elizabeth Burgess, MSW, LCSW, LCAS-A, C
• Krista B Burgin, PHARMD
• Daniel Chapman Burishkin, M.D.
• Rhiannon Leslie Burk, LCMHC
• Mary Burke-Pitts
• Allison Veronica Burke, PHARMD

• Psychologist in Asheville, NC
• Providers in Asheville, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; 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.