PHYLLIS JEAN BURSON


Address: 7501 Elmore Lane, Bethesda, MD 20817
Phone: 3012299224

PHYLLIS JEAN BURSON (NPI# 1972713626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972713626
Entity Type Individual
Full Name PHYLLIS JEAN BURSON
Other Name PHYLLIS JEAN BIESEMEIER
Credential PHD
Practice Address 7501 Elmore Lane
Bethesda
MD 20817
Practice Telephone 3012299224
Mailing Telephone 3012299224
Enumeration Date 2007-05-23
Last Update Date 2012-08-21
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 1075 MD Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MD 216241500 05
CARE FIRST BCBS NCA A910MEMBER0001 01

Office Location

Street Address 7501 ELMORE LANE
City BETHESDA
State MD
Zip Code 20817

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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

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1851803175 Rebecca B Resnik Psychologist 5602 Shields Dr Ste B, Bethesda, MD 20817-3571 2017-10-26
1346791050 Lisa Labianca Psychologist 4905 Del Ray Ave Ste 301, Bethesda, MD 20814-2558 2016-10-18
1730632654 Leslie Zirkin, Clinical Psychologist, LLC Psychologist 4630 Montgomery Ave, Suite 410, Bethesda, MD 20814-3410 2016-07-27
1235593849 Maria Zimmitti Psychologist 8120 Woodmont Ave Ste 660, Bethesda, MD 20814-2743 2016-04-09
1992169841 Rebecca Katz Psychologist 4405 E West Hwy Ste 312, Bethesda, MD 20814-4585 2016-04-07
1821406372 Lily Gutmann Psychologist 4405 E West Hwy Ste 512, Bethesda, MD 20814-4536 2014-07-29
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Competitor

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City BETHESDA
Zip Code 20817

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Dataset Information

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.

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