BURGESS PSYCHOTHERAPY, LLC (NPI# 1699315515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699315515 |
| Entity Type | Organization |
| Organization Name | BURGESS PSYCHOTHERAPY, LLC |
| Practice Address |
2 Corporate Dr Ste 211 Trumbull CT 06611-1376 |
| Mailing Address |
40 Thimble Island Rd Branford CT 06405-5721 |
| Practice Telephone | 2038158960 |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2020-01-08 |
| Authorized Official Name | SUSAN BURGESS (OWNER) |
| Authorized Official Telephone | 2038158960 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | Burgess Psychotherapy, LLC | 2 Corporate Drive, Suite 211, Trumbull, CT 06611 |
| Street Address |
2 CORPORATE DR STE 211 |
| City | TRUMBULL |
| State | CT |
| Zip Code | 06611-1376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689161366 | Christina Mcdonough | Counselor | 2 Corporate Dr Ste 211, Trumbull, CT 06611-1376 | 2018-04-18 |
| 1528605680 | Susan Burgess | Counselor | 2 Corporate Dr Ste 211, Trumbull, CT 06611-1376 | 2019-12-06 |
| 1508330564 | Samantha Lee Trayer | Marriage & Family Therapist | 2 Corporate Dr Ste 211, Trumbull, CT 06611-1376 | 2019-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073153326 | Justin Elijah Brantley | Physical Therapist | 888 White Plains Road Suite 209, Trumbull, CT 06611 | 2020-01-14 |
| 1184135733 | Stephen Graham | Speech-Language Pathologist | 126 Monroe Turnpike Suite #210, Trumbull, CT 06611 | 2017-10-22 |
| 1891214458 | Rachel Lopes | Social Worker | 132 Monroe Turnpike, 3rd Floor Suite 1, Trumbull, CT 06611 | 2017-09-14 |
| 1588193981 | James Geisler | Counselor | 23 Wilmot Ave., Trumbull, CT 06611 | 2017-06-08 |
| 1215463807 | Rodrigo Fernandez | Student in an Organized Health Care Education/Training Program | 226 Mill Hill Avenue., Bridgeport Hospital Womens Health Care Center., Bridgeport, CT 06611 | 2017-05-03 |
| 1285087650 | Trumbull Pharmacy LLC | Pharmacy | 10 Broadway Road, Bldg B, Unit B, Trumbull, CT 06611 | 2016-07-20 |
| 1063897601 | Camilla Marie Schnaitmann | Social Worker | 132 Monroe Turnpike, Trumbull, CT 06611 | 2015-07-24 |
| 1194107318 | Alison R Kudish | Dentist | 160 Hawley Ln Ste 101, Trumbull, CT 06611 | 2015-06-24 |
| 1639456783 | Sagar Makanji | Pharmacist | 5065 Main Street, Ste Target, Target Pharmacy, Store 2361, Trumbull, CT 06611 | 2011-11-03 |
| 1639485956 | Beata Everett | Social Worker | 42 Craig Lane, Trumbull, CT 06611 | 2010-08-24 |
| Find all providers in zip 06611 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053899021 | Melissa Martinez | Counselor | 2 Corporate Dr Ste 209, Trumbull, CT 06611-1376 | 2018-08-01 |
| 1477056745 | Marwa Mansour | Counselor | 70 Barnswallow Dr, Trumbull, CT 06611-2527 | 2018-03-13 |
| 1407378284 | Rosemary Huber | Counselor | 48 Ash Cir, Trumbull, CT 06611-5276 | 2017-07-12 |
| 1588193981 | James Geisler | Counselor | 23 Wilmot Ave., Trumbull, CT 06611 | 2017-06-08 |
| 1528285517 | Deborah D. Brown | Counselor | 26 Harned Place, Trumbull, CT 06611-2015 | 2007-04-19 |
| 1528605680 | Susan Burgess | Counselor | 2 Corporate Dr Ste 211, Trumbull, CT 06611-1376 | 2019-12-06 |
| 1477010619 | Gretchen Collins, LLC | Counselor | 115 Technology Dr Unit B107, Trumbull, CT 06611-6338 | 2019-02-25 |
| 1437695871 | Bernadette Marie Griffen | Counselor | 2 Corporate Dr, Suite 209, Trumbull, CT 06611-1376 | 2017-01-10 |
| 1114327756 | Amanda Manuel | Counselor | 2 Corporate Dr, Suite Number 209, Trumbull, CT 06611-1376 | 2014-09-02 |
| 1811331853 | Marcela Haendler LLC | Counselor | 935 White Plains Rd, Suite 204a, Trumbull, CT 06611-4547 | 2013-04-22 |
| Find all providers in TRUMBULL | ||||
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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.