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THERESA RANDAZZO-BURTON M.D.
NPI 1356476741
Psychiatry & Neurology - Child & Adolescent Psychiatry in Jacksonville, FL

Active since February 23, 2007PECOS Enrolled
807 CHILDRENS WAY, JACKSONVILLE, FL 32207(904) 697-3600(904) 697-3792 Get Directions Write a Review

NPPES record last updated: May 16, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Theresa Randazzo-burton M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THERESA RANDAZZO-BURTON M.D. (NPI 1356476741) is an individual child & adolescent psychiatry provider in Jacksonville, Florida, licensed in Florida (ME119289) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356476741
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameTHERESA RANDAZZO-BURTONCredential: M.D.
Location Address807 CHILDRENS WAYJacksonville, FL 32207-8426
Mailing AddressPo Box 191Rockland, DE 19732-0191 · (302) 651-6212 · Fax (302) 651-4945
Phone(904) 697-3600
Fax(904) 697-3792
Sole ProprietorNo
Enumeration DateFebruary 23, 2007
Last NPPES UpdateMay 16, 2014
✔ NPI 1356476741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Licenses✔ Licensed in FL · ME119289✔ Licensed in NC · 200701651
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 218786 (MA), 200701651 (NC)
807 CHILDRENS WAY, Jacksonville, FL 32207
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Other Identifiers 2

Medicaid5910414NC
Medicare PIN2022848NC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theresa Randazzo-burton M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. HUGH E. GRIFFENKRANZ PA-C
Physician Assistant
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Duval County (904) 390-3737
JACQUELINE M NOE
Physician Assistant
807 CHILDRENS WAY, NEMOURS CHILDRENS CLINIC, JACKSONVILLE
JACKSONVILLE, FL 32207
Duval County (904) 697-3600
ERIC P. SHERLIN R.PH
Pharmacist
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Duval County (904) 390-3601
KELLY MARIE SUMMERS ARNP
Nurse Practitioner
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Duval County (904) 697-3600
ROBERT C SPRECHER MD
Otolaryngology (Pediatric Otolaryngology)
807 CHILDRENS WAY, NEMOURS CHILDRENS CLINIC, JACKSONVILLE
JACKSONVILLE, FL 32207
Duval County (904) 697-3694
DR. DOREEN RADJENOVIC ARNP
Nurse Practitioner
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Duval County (904) 390-3759
GRACE ELIZABETH ALLEMAN SLP
Speech-Language Pathologist
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Duval County (907) 697-3600
THE NEMOURS FOUNDATION
Pharmacy (Community/Retail Pharmacy)
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Duval County (904) 697-4000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theresa Randazzo-burton's NPI number?

The NPI number for Theresa Randazzo-burton is 1356476741. It was assigned to this individual provider in the NPPES registry on February 23, 2007.

Where is Theresa Randazzo-burton located?

Theresa Randazzo-burton practices at 807 Childrens Way, Jacksonville, FL 32207. The listed phone number is (904) 697-3600.

What is Theresa Randazzo-burton's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Theresa Randazzo-burton enrolled in Medicare?

Yes. Theresa Randazzo-burton is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Theresa Randazzo-burton was last updated on May 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.