Tina D Burton, M.ED., M.S., CMT
Individual provider Active NPI Community/Behavioral Health Agency · Erial, NJ
NPI 1871027573 · NPPES record last updated Apr 19, 2017
Key facts
- NPI
- 1871027573
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- M1143 (PA)
- Practice address
- 33 Chevy Chase Rd
Erial, NJ 08081-4328 - Phone
- (856) 366-7064
- NPI assigned
- Apr 19, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Education, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M1143 | PA | MD | Community/Behavioral Health Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope | Community/Behavioral Health | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | M1143 | PA | Yes |
Addresses
Primary practice location
33 Chevy Chase Rd
Erial, NJ 08081-4328
Mailing address
33 Chevy Chase Rd
Erial, NJ 08081-4328
Phone (856) 366-7064
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0064050 | Medicaid | NJ |
Other names
- Tina D Frazier
Other providers in Erial, NJ
- Brianna Arthur Loper
- Jo Browna
- Meredith Carmichael
- Compassion in Action Productive Healthcare Services
- Claire Divito
- Sonya M Gonzalez-Alvarez
- Jennifer Lang
All providers in Erial, NJ · Community/Behavioral Health Agency in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 19, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.