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DR. SUSAN DICKEY BURLESON PHD
NPI 1912101692
Psychologist - Clinical in Hartford, CT

Active since June 14, 2007PECOS EnrolledAccepts Medicare Assignment
639 PROSPECT AVE, HARTFORD, CT 06105(860) 930-0021 Get Directions Write a Review

NPPES record last updated: March 6, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Susan Dickey Burleson Phd NPPES

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

DR. SUSAN DICKEY BURLESON PHD (NPI 1912101692) is an individual clinical provider in Hartford, Connecticut, licensed in Connecticut (003157) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1975).

NPPES Registry Identity

NPI1912101692
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. SUSAN DICKEY BURLESONCredential: PHD
Location Address639 PROSPECT AVEHartford, CT 06105-4276
Mailing Address66 Lemay StWest Hartford, CT 06107-3025 · (201) 970-3644
Phone(860) 930-0021
Sole ProprietorYes
Medical School CMSOtherGraduated 1975
Enumeration DateJune 14, 2007
Last NPPES UpdateMarch 6, 2012
✔ NPI 1912101692 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 CT · 003157✔ Licensed in NJ · 2083✔ Licensed in NY · 4961
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.
639 PROSPECT AVE, Hartford, CT 06105
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Other Names 1

Professional Name (2)Dr. Susan Dickey Burleson Ph.d.

Other Identifiers 1

Medicare PINLY735255NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Susan Dickey Burleson Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981647807
PECOS Enrollment IDI20050602000191
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 06105 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
$183.10 typical visit price
range $60.82 – $183.10
Typical copayment $45.77 (range $15.20 – $45.77)
Most-billed visit code 99205
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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 4

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

DR. DANIEL M GELLER PH.D.
Psychologist
639 PROSPECT AVE
WEST HARTFORD, CT 06105
Capitol Planning Region (860) 236-7587
MISS JACQUELINE B. LEVIN LMFT, MS, MA
Marriage & Family Therapist
639 PROSPECT AVE, 3RD FLOOR
WEST HARTFORD, CT 06105
Capitol Planning Region (860) 385-1574
ACCESSIBLE MENTAL HEALTH, LLC
Marriage & Family Therapist
639 PROSPECT AVE, 3RD FLOOR
WEST HARTFORD, CT 06105
Capitol Planning Region (860) 539-5430
ROSE MARIE DEROCHE LCSW, M.ED.
Social Worker (Clinical)
639 PROSPECT AVE
HARTFORD, CT 06105
Capitol Planning Region (860) 286-8674

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 Susan Burleson's NPI number?

The NPI number for Susan Burleson is 1912101692. It was assigned to this individual provider in the NPPES registry on June 14, 2007. The provider is also known as Dr. Susan Dickey Burleson Ph.D..

Where is Susan Burleson located?

Susan Burleson practices at 639 Prospect Ave, Hartford, CT 06105. The listed phone number is (860) 930-0021.

What is Susan Burleson's specialty?

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

Is Susan Burleson enrolled in Medicare?

Yes. Susan Burleson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Susan Burleson accept?

Health plans from Providence Health Plan list Susan Burleson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Susan Burleson was last updated on March 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.