Healthcare Provider Details

I. General information

NPI: 1871421008
Provider Name (Legal Business Name): VAN DER BURG PSYCHIATRIC SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2026
Last Update Date: 05/09/2026
Certification Date: 05/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 LYNDE ST
SALEM MA
01970-3404
US

IV. Provider business mailing address

PO BOX 215
SALEM MA
01970-0215
US

V. Phone/Fax

Practice location:
  • Phone: 339-927-1135
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ANNE-TERESE VAN DER BURG
Title or Position: OWNER
Credential: NP
Phone: 339-927-1135