DR. KATHLEEN R. BURKE (NPI# 1407904543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407904543 |
| Entity Type | Individual |
| Full Name | DR. KATHLEEN R. BURKE |
| Credential | PHD, RN, CS |
| Practice Address |
4 Militia Dr Suite 17 Lexington MA 02421-4737 |
| Practice Telephone | 7818619797 |
| Practice Fax Number | 7818619797 |
| Mailing Telephone | 7818619797 |
| Mailing Fax Number | 7818619797 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2008-12-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6858 | MA | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
6858 | MA | Behavioral Health & Social Service Providers |
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
116459 | MA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | MBC | 212553000 | 01 |
| MA | BC & BS | W05424 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538455472 | Kathleen Anne Burke | Social Worker | 84 State St Ste 660, Boston, MA 02109-2200 | 2011-06-20 |
| 1770880700 | Kathleen Helen Burke | Physical Therapist | 11320 Burlington St, Apt 359, Southgate, MI 48195-2896 | 2011-02-28 |
| 1902032485 | Kathleen Mary Burke | Speech-Language Pathologist | 93 Nassau Ave, Kenmore, NY 14217-2141 | 2009-06-10 |
| 1316198260 | Kathleen Sue Burke | Community Based Residential Treatment Facility, Mental Illness | 138 Washington, Montrose, MI 48457-7719 | 2008-10-08 |
| 1932355922 | Kathleen Burke | Counselor | 121 Shelley Dr Ste 2e, Hackettstown, NJ 07840-2530 | 2008-08-11 |
| 1548444557 | Kathleen Burke | Speech-Language Pathologist | 3040 N Harbor City Blvd, Suite 7, Melbourne, FL 32935 | 2007-12-27 |
| 1710038641 | Kathleen Marie Burke | Acupuncturist | 5404 Meridian Ave N, Seattle, WA 98103-6139 | 2007-01-16 |
| 1134208960 | Kathleen Burke Burke | Speech-Language Pathologist | 37 Magazine St, Bedford, NH 03110-4810 | 2006-11-03 |
| 1811008634 | Kathleen Burke | Nurse Practitioner | 340 Maple St 201, Marlborough, MA 01752-3200 | 2006-08-31 |
| 1932113339 | Kathleen Burke | Family Medicine | 1863 Burke Rd, Las Cruces, NM 88007 | 2006-07-28 |
| Street Address |
4 MILITIA DR SUITE 17 |
| City | LEXINGTON |
| State | MA |
| Zip Code | 02421-4737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346200193 | Susan M Brefach | Psychologist | 4 Militia Dr, Suite 23, Lexington, MA 02421-4737 | 2006-03-24 |
| 1760042675 | Maria Lee Busa | Occupational Therapist | 4 Militia Dr, Lexington, MA 02421-4737 | 2019-06-13 |
| 1730649708 | Lysa L. Pirone | Counselor | 4 Militia Dr, #23, Lexington, MA 02421 | 2019-03-25 |
| 1285093633 | Bria Mcnulty | Speech-Language Pathologist | 4 Militia Dr, Lexington, MA 02421-4737 | 2016-02-14 |
| 1316336720 | Nancy A Santoro Psyd LLC | Psychologist | 4 Militia Dr, Suite 23, Lexington, MA 02421-4737 | 2015-01-22 |
| 1255720900 | Healing Smile Pediatric Physical Therapy, LLC | Clinic/Center | 4 Militia Dr, Lexington, MA 02421-4737 | 2015-01-19 |
| 1629474366 | Growing Minds, LLC | Psychologist | 4 Militia Dr, Suite 17, Lexington, MA 02421-4737 | 2014-11-07 |
| 1427453067 | Meredith M Cohen | Psychologist | 4 Militia Dr, Lexington, MA 02421-4737 | 2014-10-24 |
| 1255734083 | Mary Poblete | Physical Therapist | 4 Militia Dr, Suite 17, Lexington, MA 02421-4737 | 2014-10-07 |
| 1841594272 | Victoria Begley | Speech-Language Pathologist | 4 Militia Dr, Lexington, MA 02421-4737 | 2010-12-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972149300 | Streettherapy,llc | Counselor | Triad Adolescent Services, 363 Mass. Ave., Suite204, Lexington, MA 02421 | 2019-11-20 |
| 1598249922 | Kelly Sexton | Social Worker | Labbb Collaborative Lexington High School, 251 Waltham St, MA 02421 | 2018-09-21 |
| 1538641956 | Jill Or Planeta | Social Worker | 40 Taft Ave, Lexington, MA 02421 | 2018-09-01 |
| 1902390388 | Erika Yaneth Valek | Counselor | 125 Hartwell Avenue, Lexington, MA 02421 | 2018-06-19 |
| 1366743668 | Elizabeth Ann Murphy | Social Worker | 17 Stedman Rd, Lexington, MA 02421 | 2010-11-03 |
| 1003045063 | Nils Becker | Pathology | 1 Cranberry Hill Ste 303, Lexington, MA 02421 | 2009-07-10 |
| 1780829556 | Lynn Joan Meltzer | Psychologist | Institute for Learning and Development, 4 Militia Drive, Lexington, MA 02421 | 2008-12-09 |
| 1962666511 | Kristin Stanley Rullo | Optometrist | 21 Worthen Road, Lexington, MA 02421 | 2008-07-14 |
| 1861660201 | Jillian S Imagire | Radiology | Concert Pharmaceuticals, 99 Hayden Ave, Suite 100, Lexington, MA 02421 | 2008-02-20 |
| 1144498049 | Lexington Dental Associates | Dentist | 271 Lincoln Street, Suite 2, Lexington, MA 02421 | 2008-02-13 |
| Find all providers in zip 02421 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486230 | Angie Fabiola Hernandez | Psychologist | 1009 Fisk Ct, Lexington, KY 40511-8369 | 2020-10-26 |
| 1548869084 | Skaggs Consulting, Pllc | Psychologist | 501 Darby Creek Rd Ste 41, Lexington, KY 40509-1671 | 2020-10-24 |
| 1801412424 | Melinda Moore | Psychologist | 144 E Lowry Ln, Lexington, KY 40503-2403 | 2020-06-19 |
| 1760948939 | True North Counseling & Development, Pllc | Psychologist | 2220 Executive Dr Ste 202, Lexington, KY 40505-4872 | 2019-02-13 |
| 1740765569 | Marlene Major LLC | Psychologist | 76 Bedford St Ste 2, Lexington, MA 02420-4640 | 2018-09-27 |
| 1447740774 | Isabel Teresa Szabo | Psychologist | 28 Cottage St, Lexington, MA 02420-2202 | 2018-05-11 |
| 1336638246 | Betty G. Doo I | Psychologist | 26 Cary Ave, Lexington, MA 02421-7710 | 2018-05-07 |
| 1639675200 | Amy Frazier | Psychologist | 120 N Eagle Creek Dr Ste 103, Lexington, KY 40509-1827 | 2018-04-03 |
| 1629590443 | Jeffrey Phillip Winer | Psychologist | 57 Bedford St Ste 230, Lexington, MA 02420 | 2017-07-13 |
| 1184172298 | Meghan L Marsac | Psychologist | 800 Rose St # Ha398, Lexington, KY 40536-7001 | 2016-09-18 |
| Find all providers in LEXINGTON | ||||
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| 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.