Rebekah L. Burket, PH.D.
Individual provider Active NPI Clinical Psychologist · Fairbanks, AK
NPI 1013399708 · NPPES record last updated Sep 29, 2022
Key facts
- NPI
- 1013399708
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 124877 (AK)
- Practice address
- 565 University Ave Ste 4E
Fairbanks, AK 99709-3688 - Phone
- (907) 378-8702
- Fax
- (907) 328-4006
- NPI assigned
- Jun 18, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4001 Geist Rd
Fairbanks, AK 99709-3569
Phone (907) 378-8702
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190418000202 | AK | Practitioner - Clinical Psychologist | 4587905633 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 936 | AK | MD | Mental Health Counselor |
| 124877 | AK | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Calmkey Telehealth Connection LLC | Clinical | Current |
Accepting new patients |
Locations
4001 Geist Rd
Ste 12
Fairbanks, AK 99709
Phone (907) 374-1981
565 University Ave
Ste 4E
Fairbanks, AK 99709
Phone (907) 378-8702
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 936 | AK | |
| Clinical Psychologist | 103TC0700X | 124877 | AK | Yes |
Addresses
Primary practice location
565 University Ave Ste 4E
Fairbanks, AK 99709-3688
Mailing address
PO Box 82264
Fairbanks, AK 99708-2264
Phone (907) 378-8702
Other providers in Fairbanks, AK
- James Burglin
- Rachel Lynn Burglin
- Joy Anne Burk
- Danielle Burke
- Brittany Burket
- Tyresa Sepia Burkhead
- Sara Burley
- Casey Burnett
- Reilly S Burrell
- Anne Burtness
All providers in Fairbanks, AK · Clinical Psychologist in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.