Katherine Burdick, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1537 Issued in CT

Practice address

642 Hilliard St Ste 1302
Manchester, CT 06042-2705

Phone

(860) 748-5441

Fax

(860) 812-2442

NPI assigned

Aug 1, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Katie Burdick, LLC

  • Marriage & Family Therapist
  • Manchester, CT
  • NPI 1306389424
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1013263607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "642 HILLIARD ST STE 1302",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060422705",
            "telephone_number": "860-748-5441",
            "fax_number": "860-812-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "642 HILLIARD ST STE 1302",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060422705",
            "telephone_number": "860-748-5441",
            "fax_number": "860-812-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDICK",
        "first_name": "KATHERINE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-01",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "1537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008041648",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Manchester, CT
• Providers in Manchester, CT by specialty
• Marriage & Family Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.