DR. JENNIFER R BURGESS (NPI# 1245369503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245369503 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER R BURGESS |
| Credential | PSYD |
| Practice Address |
6612 N Riverside Dr Suite 130 Fort Worth TX 76137-6663 |
| Practice Telephone | 8175594045 |
| Practice Fax Number | 8558110590 |
| Mailing Telephone | 8175594045 |
| Mailing Fax Number | 8558110590 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2013-05-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 32262 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215458567 | Jennifer Burgess | Technician | 5020 Hanna Pl Se, Washington, DC 20019-5818 | 2017-06-27 |
| 1902259963 | Jennifer Burgess | Speech-Language Pathologist | 127 Main Street West, Valdese, NC 28690 | 2016-07-14 |
| 1912257098 | Jennifer Burgess | Nurse Practitioner | 579 Nw Lake Whitney Pl Ste 101, Port St Lucie, FL 34986-1622 | 2012-09-14 |
| 1427362458 | Jennifer Michelle Burgess | Occupational Therapist | 29 Canvasback Cv, Jackson, TN 38305-2308 | 2010-08-02 |
| 1225121825 | Jennifer Price Burgess | Pharmacist | 1144 North Road St, Albemarle Hospital Pharmacy, Elizabeth City, NC 27909 | 2006-10-02 |
| 1376532416 | Jennifer G Burgess | Occupational Therapist | 509 Highview Cir, Chattanooga, TN 37415-2910 | 2005-10-20 |
| 1649279977 | Jennifer L Burgess | Chiropractor | 107 S Oak St, Mount Carmel, PA 17851-2145 | 2005-07-19 |
| 1063976512 | Jennifer Burgess | Nurse Practitioner | 4054 Sawyer Rd, Sarasota, FL 34233-1272 | 2019-01-29 |
| 1265915011 | Jennifer Lynn Burgess | Licensed Practical Nurse | 15268 S Dixie Hwy Ste 101, Monroe, MI 48161-5040 | 2018-09-07 |
| 1316465636 | Jennifer A Burgess | Registered Nurse | 716 Stevens Ave, Portland, ME 04103-2656 | 2017-09-07 |
| Street Address |
6612 N RIVERSIDE DR SUITE 130 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76137-6663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740813005 | Neuro Eye Team Pllc | Optometrist | 6612 N Riverside Dr, Fort Worth, TX 76137-6663 | 2020-02-14 |
| 1174946925 | Therron Hume | Psychologist | 6612 N Riverside Dr, Fort Worth, TX 76137-6663 | 2014-01-30 |
| 1730524174 | Alphapsych, Pllc | Psychologist | 6612 N Riverside Dr, Suite 130, Fort Worth, TX 76137-6663 | 2013-04-29 |
| 1881914380 | Lydia Ann Ivory | Counselor | 6612 N Riverside Dr, 140, Fort Worth, TX 76137-6663 | 2010-06-07 |
| 1245400589 | Professional Counseling Center Pllc | Counselor | 6612 N Riverside Dr, Suite 140, Fort Worth, TX 76137-6663 | 2008-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962975581 | Rose Kabera | Registered Nurse | 8021 Jolie Dr, Fort Worth, TX 76137 | 2019-01-07 |
| 1043786569 | Grace-marie Jones | Licensed Vocational Nurse | 5201 Endicott Avenue, Fort Worth, TX 76137 | 2018-10-23 |
| 1104327683 | Jeris Taylor | Registered Nurse | 4144 Heritage Way Dr, Fort Worth, TX 76137 | 2018-02-21 |
| 1396269429 | Matthew Pedroza | Dentist | 4625 Feathercrest Dr., Fort Worth, TX 76137 | 2017-07-31 |
| 1447789896 | Texas Surgical Ally | Physician Assistant | 6677 Friendsway Dr, Fort Worth, TX 76137 | 2017-06-08 |
| 1992249239 | Tracy Kirk Dds, Pllc | Dentist | 6300 N. Beach St, Ft Worth, TX 76137 | 2016-12-06 |
| 1992103295 | Keller Modern Dentistry and Orthodontics, PC | Dentist | 5701 N. Tarrant Pkwy, Suite 101, Fort Worth, TX 76137 | 2014-12-18 |
| 1619380805 | Ikids Pediatric Dentistry and Orthodontics Nfw | Dentist | 7451 N Beach St, Ste 140, Fort Worth, TX 76137 | 2014-06-05 |
| 1205246758 | Jack Milton Curlee Jr. | Counselor | 3629 Western Center Blvd., Suite 211, Fort Worth, TX 76137 | 2014-05-06 |
| 1932457363 | Milestone Dental of Keller, Pllc | Dentist | 5800 North Tarrant Parkway, Suite 102, Fort Worth, TX 76137 | 2012-08-15 |
| Find all providers in zip 76137 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
| 1306481205 | Luma Psychology Pllc | Psychologist | 2201 Dottie Lynn Pkwy Ste 127, Fort Worth, TX 76120-4435 | 2019-11-14 |
| 1710484985 | Jordana Elyse Mortimer | Psychologist | 1208 W Magnolia Ave Ste 234, Fort Worth, TX 76104-8801 | 2018-04-12 |
| 1255848750 | William Travis Gardner | Psychologist | 4436 Robertson Rd, Fort Worth, TX 76135-9438 | 2018-01-05 |
| 1760895130 | Mark Schmidt | Psychologist | 6308 Ferncreek Ln, Fort Worth, TX 76179-4701 | 2014-06-03 |
| 1891113676 | Lisa Hensley | Psychologist | 4415 Morris Ct, Fort Worth, TX 76103-3226 | 2014-03-31 |
| 1265781454 | Elizabeth O Oriola-otenaike | Psychologist | 6620 Trinity Heights Blvd, Fort Worth, TX 76132-3578 | 2012-09-03 |
| 1780950436 | Carol Lacey Richardson | Psychologist | 4316 Lake Stone Trl, Fort Worth, TX 76123-8009 | 2012-03-27 |
| 1477834133 | Larry Wayne Carter II | Psychologist | 6100 Western Pl Ste 908, Fort Worth, TX 76107-4600 | 2011-09-07 |
| 1639358385 | Beatrix Wagner | Psychologist | 6300 John Ryan Dr, Fort Worth, TX 76132-4122 | 2007-10-30 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76137 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.