Michael S. Burke, M.D., PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD000037346 Issued in WA

Legal business name

MICHAEL S. BURKE, M.D., PLLC

Practice address

20696 Bond Rd NE Ste C-210
Poulsbo, WA 98370-9015

Phone

(360) 779-4807

Fax

(360) 779-5613

NPI assigned

Jun 18, 2008

Last updated

Jul 23, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Ann Wright

Title

Billing Consultant

Phone

(425) 770-9887

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Diana J Baker, MSW LMHC

  • Counselor
  • Poulsbo, WA
  • NPI 1346300092
  NPD (past)
• William C. Krutch, LICSW

  • Clinical Social Worker
  • Poulsbo, WA
  • NPI 1629012190
  NPD (past)

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1073774493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20696 BOND RD NE STE C-210",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983709015",
            "telephone_number": "360-779-4807",
            "fax_number": "360-779-5613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20696 BOND RD NE STE C-210",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983709015",
            "telephone_number": "360-779-4807",
            "fax_number": "360-779-5613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL S. BURKE, M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-18",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "BILLING CONSULTANT",
        "authorized_official_telephone_number": "425-770-9887",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD000037346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8243826",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan S Mendelsohn, M.D.
• Claudette Meno, LMP
• Lee E Metcalf, PH
• Patricia A Meyer, LMP
• Michael D Brooks DMD, Ms, PLLC (Peninsula Prosthodontics)
• Jennifer Anne Miller, LMT
• Laura Miller, LMP
• Margery F Miller, PT
• Renee G Miller, PSYD, LMFT
• Zachary Miller, DDS

• Psychiatry Physician in Poulsbo, WA
• Providers in Poulsbo, WA by specialty
• Psychiatry Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.