Susan Dickens Burgess, MA CCCSLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP934 Issued in ME

Practice address

5724 Dunn Hall
Room 336 University of Maine
Orono, ME 04469-5724

Phone

(207) 581-2008

Fax

(207) 581-2060

NPI assigned

Dec 6, 2006

Sex

Female

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• University of Maine

  • Speech-Language Pathologist
  • Orono, ME
  • NPI 1295921922
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861551996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 BURGESS ROAD",
            "city": "NEWPORT",
            "state": "ME",
            "postal_code": "044933600",
            "telephone_number": "207-581-2008",
            "fax_number": "207-581-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5724 DUNN HALL",
            "address_2": "ROOM 336 UNIVERSITY OF MAINE",
            "city": "ORONO",
            "state": "ME",
            "postal_code": "044695724",
            "telephone_number": "207-581-2008",
            "fax_number": "207-581-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "SUSAN",
        "middle_name": "DICKENS",
        "name_prefix": "Ms.",
        "credential": "MA CCCSLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "SP934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "027997",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• April Jean Boulier, PSYCHOLOGIST
• Katherine Brittain
• Lily Brown
• Tina Marie Brown, RN, MSN, NP-C
• Nancy Browne, PNP
• Pamela Megan Burhoe, RN
• Ethan Burk
• Adrienne J Butler, ED.D.
• Alan Charles Butler, PH.D.
• Elizabeth Campbell Premer, RN

• Speech-Language Pathologist in Orono, ME
• Providers in Orono, ME by specialty
• Speech-Language Pathologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.