Organization Active NPI

Burstein-Rose PC

  • Clinical Social Worker
  • Portland, OR
National Provider Identifier
1972917458
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2931 Issued in OR
Legal business name
BURSTEIN-ROSE PC
Practice address
833 SW 11TH Ave Ste 710
Portland, OR 97205-2121
Phone
(503) 701-1050
NPI assigned
Jun 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Authorized official

Name
Mr. Guy David Burstein, LCSWNPI 1619043452
Title
Psychotherapist
Phone
(503) 701-1050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 2931 OR Primary

Addresses

Primary practice location

833 SW 11TH Ave Ste 710
Portland, OR 97205-2121

Mailing address

833 SW 11TH Ave Ste 710
Portland, OR 97205-2121
Phone (503) 701-1050

National Provider Directory

National Provider Directory

Locations

1832 NE Broadway St
Portland, OR 97232
Phone (503) 282-8600

833 SW 11th Ave
Ste 710
Portland, OR 97205
Phone (503) 280-8852

833 SW 11th Ave
Ste 214
Portland, OR 97205
Phone (503) 224-2525

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1402531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707436800000",
    "number": "1972917458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 SW 11TH AVE STE 710",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052121",
            "telephone_number": "503-701-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 SW 11TH AVE STE 710",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052121",
            "telephone_number": "503-701-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURSTEIN-ROSE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-12",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A",
        "authorized_official_last_name": "BURSTEIN",
        "authorized_official_first_name": "GUY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "503-701-1050",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "2931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; 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.