George I. Bustard Jr., PASTORAL COUNSELOR

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

8200 Flourtown Ave
Suite 8
Wyndmoor, PA 19038-7976

Phone

(215) 233-3994

Fax

(215) 233-3997

NPI assigned

May 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• GKSW Crystal Group Associates

  • Clinical Psychologist
  • Wyndmoor, PA
  • NPI 1568418721
  NPD (past)

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281484800000",
    "number": "1942257803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 FLOURTOWN AVE",
            "address_2": "SUITE 8",
            "city": "WYNDMOOR",
            "state": "PA",
            "postal_code": "190387976",
            "telephone_number": "215-233-3994",
            "fax_number": "215-233-3997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 FLOURTOWN AVE",
            "address_2": "SUITE 8",
            "city": "WYNDMOOR",
            "state": "PA",
            "postal_code": "190387976",
            "telephone_number": "215-233-3994",
            "fax_number": "215-233-3997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSTARD",
        "first_name": "GEORGE",
        "middle_name": "I.",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PASTORAL COUNSELOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2010-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth C. Brooks, JD IBCLC
• Diana Brown, MD
• Beth Ann Bunting, LCSW
• Ellen Korb Burbano, MSS, LMFT, LCSW
• Martha Watkins Bush, LMFT
• Mary Kathleen Carpio, MS, CCC-SLP
• Carrington Place of Chestnut Hill, LLC
• CH Operating, LLC
• Anthony Richard Cheslock, DPT
• Chestnut Hill Allergy and Asthma Associates, LLC

• Marriage & Family Therapist in Wyndmoor, PA
• Providers in Wyndmoor, PA by specialty
• Marriage & Family Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; 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.