Active NPI
Taylor Adele Burke, PH.D.
- Psychologist
- Boston, MA
National Provider Identifier
1043965627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 11722
- Practice address
- 185 Cambridge St
Boston, MA 02114-2790 - Phone
- (516) 680-9250
- NPI assigned
- Feb 13, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 11722 | MA | Primary |
| Psychologist | 103T00000X | PS01964 | RI |
Addresses
Primary practice location
185 Cambridge St
Boston, MA 02114-2790
Mailing address
42 Adelphi Ave
Providence, RI 02906-4526
Phone (516) 680-9260
Other practice location 1
55 Fruit St
Boston, MA 02114-2696
Phone (617) 726-2000
Other practice location 2
81 Highland Ave
Salem, MA 01970-2768
Phone (978) 741-1200
Other practice location 3
42 Adelphi Ave
Providence, RI 02906-4526
Phone (857) 244-0130
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS01964 | RI | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649030400000",
"number": "1043965627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 ADELPHI AVE",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029064526",
"telephone_number": "516-680-9260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 CAMBRIDGE ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142790",
"telephone_number": "516-680-9250"
}
],
"practiceLocations": [
{
"address_1": "55 Fruit St",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021142696",
"country_code": "US",
"telephone_number": "617-726-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "81 Highland Ave",
"address_purpose": "LOCATION",
"city": "Salem",
"state": "MA",
"postal_code": "019702768",
"country_code": "US",
"telephone_number": "978-741-1200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "42 Adelphi Ave",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029064526",
"country_code": "US",
"telephone_number": "857-244-0130",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURKE",
"first_name": "TAYLOR",
"middle_name": "ADELE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-13",
"last_updated": "2022-04-04",
"certification_date": "2022-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "11722",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "RI",
"license": "PS01964",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.