DR. KATHLEEN R. BURKE PHD RN CS NPI 1407904543

NPI Information

  • NPI: 1407904543
  • Provider Name: DR. KATHLEEN R. BURKE, PHD, RN, CS
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4 MILITIA DR
    SUITE 17
    LEXINGTON, MA
    ZIP 02421
  • Phone: (781) 861-9797

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NPI Details

DR. Kathleen R. Burke, PHD, RN, CS is a clinical psychologist in Lexington, MA. The provider is 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. DR. Kathleen R. Burke, PHD, RN, CS NPI is 1407904543. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4 MILITIA DR
SUITE 17
LEXINGTON, MA
ZIP 02421-737
Phone: (781) 861-9797
Fax: (781) 861-9797

The NPI 1407904543 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 1/8/2007 and was last updated on 12/1/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC2200XPsychologistClinical Child & Adolescent6858MASSACHUSETTSNo
2163WP0808XRegistered NursePsychiatric/Mental Health116459MASSACHUSETTSNo
3103TC0700XPsychologistClinical6858MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1212553000OTHERMASSACHUSETTSMBC
2W50034MEDICARE PINMASSACHUSETTS
3W05424OTHERMASSACHUSETTSBC & BS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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