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DR. ERICA BURGOON PH.D.
NPI 1417359167
Psychologist - Clinical in Philadelphia, PA

Active since September 24, 2014PECOS Enrolled
525 S 4TH ST, SUITE 417, PHILADELPHIA, PA 19147(267) 861-3685 Get Directions Write a Review

NPPES record last updated: October 24, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Erica Burgoon Ph.d. NPPES

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

DR. ERICA BURGOON PH.D. (NPI 1417359167) is an individual clinical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (PS016552) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417359167
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. ERICA BURGOONCredential: PH.D.
Location Address525 S 4TH ST, SUITE 417Philadelphia, PA 19147-1570
Mailing Address411 Westmont AveHaddonfield, NJ 08033-1716 · (856) 816-7098
Phone(267) 861-3685
Sole ProprietorYes
Enumeration DateSeptember 24, 2014
Last NPPES UpdateOctober 24, 2014
✔ NPI 1417359167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in PA · PS016552✔ Licensed in DE · B1-0000957
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
525 S 4TH ST, Philadelphia, PA 19147
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Erica Burgoon Ph.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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19147 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$180.99 typical visit price
range $59.88 – $180.99
Typical copayment $45.24 (range $14.97 – $45.24)
Most-billed visit code 99205
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

CATHERINE NOWCID
Psychologist (Clinical)
525 S 4TH ST, SUITE 471
PHILADELPHIA, PA 19147
Philadelphia County (267) 861-3685
VICTORIA DEFINO MS
Counselor (Mental Health)
525 S 4TH ST
PHILADELPHIA, PA 19147
Philadelphia County (267) 585-2980
DR. JAMES LEE LOVING PSYD
Psychologist (Clinical)
525 S 4TH ST, SUITE 471
PHILADELPHIA, PA 19147
Philadelphia County (215) 939-7393
MS. SHAUNA RADZIESKI
Social Worker (Clinical)
525 S 4TH ST, SUITE 471
PHILADELPHIA, PA 19147
Philadelphia County (267) 861-3685
ANNIE HUI LAM PH.D.
Psychologist (Counseling)
525 S 4TH ST, SUITE 471
PHILADELPHIA, PA 19147
Philadelphia County (267) 861-3685
EQUILIBRIA PSYCHOLOGICAL AND CONSULTATION SERVICES, LLC
Psychologist (Clinical)
525 S 4TH ST, SUITE 471
PHILADELPHIA, PA 19147
Philadelphia County (267) 861-3685
DR. NOAH SIDEMAN
Psychologist
525 S 4TH ST
PHILADELPHIA, PA 19147
Philadelphia County (267) 861-3685
FAITH DONNA GORDON-MAZUR LPC
Counselor (Professional)
525 S 4TH ST, SUITE 471
PHILADELPHIA, PA 19147
Philadelphia County (267) 861-3685

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 Erica Burgoon's NPI number?

The NPI number for Erica Burgoon is 1417359167. It was assigned to this individual provider in the NPPES registry on September 24, 2014.

Where is Erica Burgoon located?

Erica Burgoon practices at 525 S 4th St Suite 417, Philadelphia, PA 19147. The listed phone number is (267) 861-3685.

What is Erica Burgoon's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Erica Burgoon enrolled in Medicare?

Yes. Erica Burgoon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Erica Burgoon was last updated on October 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.