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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. STACY BURDICK DM- BCC (2054) RBAI
NPI 1780399808
Counselor - Pastoral in Salem, OR

Active since January 23, 2023
1230 WESTWOOD DR NW, SALEM, OR 97304(971) 208-4663 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 20, 2026, Feb 14, 2023, Jan 23, 2023 (3 updates tracked since 2023).

About Dr. Stacy Burdick Dm- Bcc (2054) Rbai NPPES

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

DR. STACY BURDICK DM- BCC (2054) RBAI (NPI 1780399808) is an individual pastoral provider in Salem, Oregon and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1780399808
Entity TypeIndividualMale
Primary Taxonomy101YP1600X
Provider Legal NameDR. STACY BURDICKCredential: DM- BCC (2054) RBAI
Location Address1230 WESTWOOD DR NWSalem, OR 97304-3749
Mailing Address1230 Westwood Dr NwSalem, OR 97304-3749 · (971) 208-4663
Phone(971) 208-4663
Sole ProprietorYes
Enumeration DateJanuary 23, 2023
Last NPPES UpdateJuly 20, 20263 updates tracked since enumeration
NPPES CertifiedJuly 20, 2026
✔ NPI 1780399808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · PastoralBehavioral Health & Social Service Providers
Taxonomy Code101YP1600X
Also ListedBehavior TechnicianTaxonomy 106S00000X · License ABA-IN-10254263 (OR)
Also ListedReligious Nonmedical PractitionerTaxonomy 374K00000X · License 2054 (FL)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License ABA-IN-10254263 (OR)
1230 WESTWOOD DR NW, Salem, OR 97304
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Other Providers at the Same Location NPPES

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

BEHAVIORAL HEALTH LLC
Community/Behavioral Health
1230 WESTWOOD DR NW
SALEM, OR 97304
Polk County (971) 208-4663

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 Stacy Burdick's NPI number?

The NPI number for Stacy Burdick is 1780399808. It was assigned to this individual provider in the NPPES registry on January 23, 2023.

Where is Stacy Burdick located?

Stacy Burdick practices at 1230 Westwood Dr NW, Salem, OR 97304. The listed phone number is (971) 208-4663.

What is Stacy Burdick's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Pastoral, with taxonomy code 101YP1600X.

When was this NPI record last updated?

The NPPES record for Stacy Burdick was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.