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

Q: 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.

Q: What is Erica Burgoon's specialty?

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

Q: When was this NPI record last updated?

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

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: July 19, 2026.

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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.