Thomas K Burdenski PLLC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

33118 Issued in TX

Legal business name

THOMAS K BURDENSKI PLLC

Practice address

6777 Camp Bowie Blvd Ste 321
Fort Worth, TX 76116-7178

Phone

(817) 390-0453

NPI assigned

Jul 21, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Kevin Burdenski, PHDNPI 1497939318

Title

Owner

Phone

(817) 390-0453

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Thomas Kevin Burdenski Jr., LIC. PSYCHOLOGIST

  • Counseling Psychologist
  • Fort Worth, TX
  • NPI 1497939318
  NPD Authorized official

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

{
    "created_epoch": "1500595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500595200000",
    "number": "1932622958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1532 VERNON CASTLE AVE",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761264291",
            "telephone_number": "817-390-0453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6777 CAMP BOWIE BLVD STE 321",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761167178",
            "telephone_number": "817-390-0453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS K BURDENSKI PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-21",
        "last_updated": "2017-07-21",
        "status": "A",
        "authorized_official_last_name": "BURDENSKI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-390-0453",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "TX",
            "license": "33118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF TEXAS",
            "identifier": "1497939318",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Amy Christine Thomas, M.S., C.G.C.
• Andrea Thomas
• Andrew Carter Thomas, DO

• Counseling Psychologist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Counseling Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2017; 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.