Organization Active NPI

The Burke Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tunkhannock, PA
National Provider Identifier
1043683055
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
THE BURKE CENTER, INC.
Practice address
70 Hollow Crest Rd
Tunkhannock, PA 18657-9507
Phone
(570) 240-4774
Fax
(570) 836-6888
NPI assigned
Nov 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Authorized official

Name
Mr. Donald L Nowland, BCM
Title
Operations Coordinator
Phone
(570) 240-4774

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

70 Hollow Crest Rd
Tunkhannock, PA 18657-9507

Mailing address

70 Hollow Crest Rd
Tunkhannock, PA 18657-9507
Phone (570) 240-4774

Other identifiers 2

IdentifierTypeStateIssuer
576731OtherPAMEDICARE
102920597001MedicaidPA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1043683055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 HOLLOW CREST RD",
            "city": "TUNKHANNOCK",
            "state": "PA",
            "postal_code": "186579507",
            "telephone_number": "570-240-4774",
            "fax_number": "570-836-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 HOLLOW CREST RD",
            "city": "TUNKHANNOCK",
            "state": "PA",
            "postal_code": "186579507",
            "telephone_number": "570-240-4774",
            "fax_number": "570-836-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BURKE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-12",
        "last_updated": "2022-01-20",
        "certification_date": "2021-04-20",
        "status": "A",
        "authorized_official_last_name": "NOWLAND",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OPERATIONS COORDINATOR",
        "authorized_official_telephone_number": "570-240-4774",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BCM"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "576731",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102920597001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tunkhannock, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.