DR. RENEE KATHLEEN BURKE (NPI# 1386016061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386016061 |
Entity Type | Individual |
Full Name | DR. RENEE KATHLEEN BURKE |
Credential | B.A., M.S., PH.D. |
Practice Address |
1945 S 1100 E Suite 206 Salt Lake City UT 84106-2369 |
Practice Telephone | 8016821523 |
Mailing Telephone | 8016821523 |
Enumeration Date | 2015-10-21 |
Last Update Date | 2015-10-21 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
9374492-2501 | UT | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851859722 | Renee Burke | Behavioral Analyst | 16500 Ventura Blvd, Encino, CA 91436-5050 | 2019-03-08 |
1225175573 | Renee Burke | Specialist | 1786 Moon Lake Blvd, Suite 205, Hoffman Estates, IL 60169-5029 | 2007-01-30 |
1457391427 | Renee Ann Burke | Physician Assistant | 2 Science Court, Madison, WI 53711 | 2006-06-07 |
Street Address |
1945 S 1100 E SUITE 206 |
City | SALT LAKE CITY |
State | UT |
Zip Code | 84106-2369 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528261120 | Todd Wallace Cameron | Naturopath | 1945 S 1100 E, Suite 202, Salt Lake City, UT 84106-2369 | 2007-06-09 |
1376976860 | Corrie Frances Agnew | Social Worker | 1945 S 1100 E, Suite 202, Salt Lake City, UT 84106-2369 | 2013-08-20 |
1013239466 | Carla Joan Stoddard | Social Worker | 1945 S 1100 E, Suite 206, Salt Lake City, UT 84106-2369 | 2010-02-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801400015 | Tyra Mae Vance | Counselor | 3375 S 880 E, Salt Lake City, UT 84106 | 2020-09-04 |
1316596554 | Adam Davies | Pharmacist | 1280 E Stringham Ave., Salt Lake City, UT 84106 | 2019-09-10 |
1558919142 | University of Utah | Pharmacy | 1280 E. Stringham Ave, Suite 101, Salt Lake City, UT 84106 | 2019-08-28 |
1588174064 | Aaron Potts | Naturopath | 1945 1100 E, #100, Salt Lake City, UT 84106 | 2017-10-10 |
1801335005 | Gretchen Dennison | Nurse Practitioner | 2138 S Highland Dr, Salt Lake City, UT 84106 | 2017-02-21 |
1376095794 | Jeannette Daneals | Naturopath | 1945 South 1100 East, Suite 100, Salt Lake City, UT 84106 | 2016-11-02 |
1073908703 | Tracey Steinmetz | Massage Therapist | 3300 South 970 East, Suite 7, Salt Lake City, UT 84106 | 2015-03-31 |
1275949091 | Amy Deforest Edwards | Counselor | Jewish Family Service, 1111 E Brickyard Rd, Suite 218, Slc, UT 84106 | 2014-07-02 |
1194138636 | Hillary Lowe Taggart | Nurse Practitioner | 3369 S Highland Dr, Salt Lake City, UT 84106 | 2014-06-03 |
1487086617 | Herald R. Clark, Dds | Dentist | 3643 S. Highland Drive, Salt Lake City, UT 84106 | 2013-07-30 |
Find all providers in zip 84106 |
Taxonomy Code | 103TC2200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical Child & Adolescent |
Definition to come... |
Notes: [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477913762 | Lisa Daniels | Psychologist | 4568 S Highland Dr Ste 260b, Salt Lake City, UT 84117-4236 | 2016-02-29 |
1386945566 | Annie Michol Deming | Psychologist | 5770 S 1500 W # G, Salt Lake City, UT 84123-5216 | 2010-11-04 |
1588829634 | Carla J Reyes | Psychologist | 4568 S Highland Dr Ste 100, Salt Lake City, UT 84117-4234 | 2008-07-28 |
1265592083 | Fenster Corp. | Psychologist | 4505 Wasatch Blvd Ste 380, Salt Lake City, UT 84124-4733 | 2006-12-11 |
1174625016 | Donald Emory Beck | Psychologist | 44 Medical Dr, Salt Lake City, UT 84132-0001 | 2006-09-01 |
1376570820 | Douglas Frank Goldsmith | Psychologist | 5383 S 900 E Ste 290, Salt Lake City, UT 84117-7268 | 2006-06-27 |
1457808370 | Jennifer Wehan | Psychologist | 350 S 400 E, Salt Lake City, UT 84111-2905 | 2016-09-08 |
1346637881 | Natalie Buerger | Psychologist | 295 S Chipeta Way, Salt Lake City, UT 84108-1287 | 2015-04-22 |
1568864114 | Amanda Aulbaugh | Psychologist | 350 S 400 E, Salt Lake City, UT 84111-2908 | 2014-09-25 |
1144662941 | One Haven | Psychologist | 160 S 1000 E, Suite 210, Salt Lake City, UT 84102-1428 | 2013-07-22 |
Find all providers in SALT LAKE CITY |
City | SALT LAKE CITY |
Zip Code | 84106 |
Please comment or provide details below to improve the information on DR. RENEE KATHLEEN BURKE.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.