Active NPI
Craig Douglas Burns
- Clinical Psychologist
- Brookline, MA
National Provider Identifier
1023080587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 8428
- Practice address
- 382 Washington St
Brookline, MA 02445-6852 - Phone
- (617) 447-5572
- NPI assigned
- Feb 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 8428 | MA | Primary |
Addresses
Primary practice location
382 Washington St
Brookline, MA 02445-6852
Mailing address
169 High Rock St
Needham, MA 02492-2812
Phone (617) 447-5572
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W06433 | Other | MA | BLUE CROSS/BLUE SHIELD |
| W10533 | Other | MA | BLUE CROSS/BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1023080587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169 HIGH ROCK ST",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "024922812",
"telephone_number": "617-447-5572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "382 WASHINGTON ST",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024456852",
"telephone_number": "617-447-5572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNS",
"first_name": "CRAIG",
"middle_name": "DOUGLAS",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-07",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "8428",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "W06433",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "W10533",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.