DR. ERICA BURGOON (NPI# 1417359167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417359167 |
| Entity Type | Individual |
| Full Name | DR. ERICA BURGOON |
| Credential | PH.D. |
| Practice Address |
525 S 4th St Suite 417 Philadelphia PA 19147-1570 |
| Mailing Address |
411 Westmont Ave Haddonfield NJ 08033-1716 |
| Practice Telephone | 2678613685 |
| Mailing Telephone | 8568167098 |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2014-10-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
B1-0000957 | DE | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PS016552 | PA | Behavioral Health & Social Service Providers |
| Street Address |
525 S 4TH ST SUITE 417 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19147-1570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326670225 | Julia Flower Valdner | Counselor | 525 S 4th St, Philadelphia, PA 19147-1570 | 2020-02-08 |
| 1366008872 | Noah Sideman | Psychologist | 525 S 4th St, Philadelphia, PA 19147-1570 | 2019-05-10 |
| 1023467859 | Catherine Nowcid | Psychologist | 525 S 4th St, Suite 471, Philadelphia, PA 19147-1570 | 2016-06-13 |
| 1871956342 | Kristin Vosburg | Social Worker | 525 S 4th St, Suite 593, Philadelphia, PA 19147-1570 | 2016-04-01 |
| 1851750590 | Colette Alexis Grosso | Social Worker | 525 S 4th St, Suite 471, Philadelphia, PA 19147-1570 | 2016-02-22 |
| 1417316928 | Enspirit Enterprises, LLC | Home Health | 525 S 4th St, Suite 245, Philadelphia, PA 19147-1570 | 2016-02-12 |
| 1528435914 | Gabriella M Ferreira | Physical Therapy Assistant | 525 S 4th St, Suite 254, Philadelphia, PA 19147-1570 | 2015-09-01 |
| 1790152981 | Robert Linwood Young | Physical Therapist | 525 S 4th St, Suite 254, Philadelphia, PA 19147-1570 | 2015-08-24 |
| 1770991028 | Alexandra Charchut Moll | Psychologist | 525 S 4th St, Suite 471, Philadelphia, PA 19147-1570 | 2014-07-31 |
| 1972888204 | Theresa T Hoang | Acupuncturist | 525 S 4th St, Philadelphia, PA 19147-1570 | 2011-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508336181 | Jamica Cropper-pam | Counselor | 401 S 2nd St. Suite 301, Philadelphia, PA 19147 | 2018-11-27 |
| 1598234411 | Halina Dziewolska | Behavioral Analyst | 535 Queen Street, Philadelphia, PA 19147 | 2018-11-20 |
| 1972072908 | City Dental LLC | Clinic/Center | 1100 Washington Ave 2nd Floor, Philadelphia, PA 19147 | 2018-11-20 |
| 1487120218 | Christopher Michael Rosado | Behavioral Analyst | 1218-20 South 8th St, 1, Philadelphia, PA 19147 | 2018-10-19 |
| 1891271722 | Candice Millard | Dietitian, Registered | 419 S 8th St Apt 1b, Philadelphia, PA 19147 | 2018-07-13 |
| 1669998217 | Julianne Leonarda Wiebalk | Counselor | 814 South 4th Street, 1st Floor, Philadelphia, PA 19147 | 2017-08-16 |
| 1396269247 | Sara Parente | Social Worker | 1217 Fitzwater St., Unit A, Philadelphia, PA 19147 | 2017-08-02 |
| 1609398445 | Nikele Riek | Social Worker | 1348 Bainbridge Street, Philadelphia, PA 19147 | 2017-07-13 |
| 1023556875 | Bralow Medical Group | General Practice | 834 South St., Philadelphia, PA 19147 | 2017-02-01 |
| 1194196105 | Ann Courto | Dietitian, Registered | 1140 Cross Street, Philadelphia, PA 19147 | 2015-10-16 |
| Find all providers in zip 19147 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851092 | Erica Marla Schulte | Psychologist | 3535 Market St Ste 3032, Philadelphia, PA 19104-3313 | 2020-11-02 |
| 1376159780 | Kristi Corcoran | Psychologist | 212 Catharine St Apt 5, Philadelphia, PA 19147-3398 | 2020-09-21 |
| 1033723317 | Casey Joan Zampella | Psychologist | 2716 South St Ofc 5322, Philadelphia, PA 19146-2305 | 2020-09-03 |
| 1265053755 | Shirley Brown | Psychologist | 210 W Rittenhouse Sq Ste 404, Philadelphia, PA 19103-5771 | 2020-05-06 |
| 1518507912 | Tamara Christine Hill | Psychologist | 245 Cherry St Apt 3f, Philadelphia, PA 19106-1991 | 2020-01-14 |
| 1023658168 | Susan Schack Kelly | Psychologist | 8609 Germantown Ave # 2f, Philadelphia, PA 19118-2863 | 2020-01-07 |
| 1265070379 | Jeannine Cicco Barker | Psychologist | 100 S Broad St Ste 915, Philadelphia, PA 19110-1016 | 2019-12-19 |
| 1003453952 | Bridget Smith | Psychologist | Stratton Hall, 3201 Chestnut St., 2nd Floor, Philadelphia, PA 19146 | 2019-12-10 |
| 1235790007 | Stephanie Manasse | Psychologist | 3201 Chestnut St, Philadelphia, PA 19104-3370 | 2019-06-24 |
| 1003376690 | Margaux Desjardins | Psychologist | 2200 Saint James Pl, Philadelphia, PA 19103-5502 | 2019-03-21 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19147 |
Please comment or provide details below to improve the information on DR. ERICA BURGOON.
| 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.