| Burgess Psychiatric Services | |
|
629 E Wood St Suite 108 Vineland NJ 08360-3730 | |
| (856) 692-5600 | |
| (856) 692-5601 |
| Full Name | Burgess Psychiatric Services |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 629 E Wood St, Vineland, New Jersey |
| Authorized Official Name and Position | Yvonne M Burgess (APN) |
| Authorized Official Contact | 8566925600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Burgess Psychiatric Services 629 E Wood St Suite 106-108 Vineland NJ 08360-3730 Ph: (856) 692-5600 | Burgess Psychiatric Services 629 E Wood St Suite 108 Vineland NJ 08360-3730 Ph: (856) 692-5600 |
| NPI Number | 1346665007 |
|---|---|
| Provider Enumeration Date | 03/04/2014 |
| Last Update Date | 08/07/2019 |
| Medicare PECOS PAC ID | 4981996121 |
|---|---|
| Medicare Enrollment ID | O20160708001684 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346665007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 26NC04275400 (New Jersey) | Primary |
| Provider Name | Yvonne M Burgess |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1013229822 PECOS PAC ID: 3870882160 Enrollment ID: I20160711000251 |
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