Active NPI
Wendy Rose Burke, PH.D.
- Counseling Psychologist
- Beverly Hills, CA
National Provider Identifier
1134552169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- PSY 13152
- Practice address
- 9720 Wilshire Blvd
Suite 708
Beverly Hills, CA 90212-2021 - Phone
- (310) 364-1950
- Fax
- (310) 276-5876
- NPI assigned
- Aug 13, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | PSY 13152 | CA | Primary |
| Counseling Psychologist | 103TC1900X | PY0005340 | FL |
Addresses
Primary practice location
9720 Wilshire Blvd
Suite 708
Beverly Hills, CA 90212-2021
Mailing address
9720 Wilshire Blvd
Suite 708
Beverly Hills, CA 90212-2021
Phone (310) 364-1950
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 1, 2021 through Mar 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 13152 | CA | MD | Counseling Psychologist |
| PY0005340 | FL | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376352000000",
"number": "1134552169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9720 WILSHIRE BLVD",
"address_2": "SUITE 708",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902122021",
"telephone_number": "310-364-1950",
"fax_number": "310-276-5876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9720 WILSHIRE BLVD",
"address_2": "SUITE 708",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902122021",
"telephone_number": "310-364-1950",
"fax_number": "310-276-5876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKE",
"first_name": "WENDY",
"middle_name": "ROSE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-13",
"last_updated": "2013-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "CA",
"license": "PSY 13152",
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "FL",
"license": "PY0005340",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.