Mollie Burke, PHD HSP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

079938 Issued in IA

Practice address

1303 5TH St
Suite 202
Coralville, IA 52241-2939

Phone

(319) 358-6520

NPI assigned

Feb 11, 2016

Last updated

Jan 2, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hope Springs Behavioral Consultants

  • Counseling Psychologist
  • Coralville, IA
  • NPI 1871913384
  NPD (past)

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

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577923200000",
    "number": "1144689720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 5TH ST",
            "address_2": "SUITE 202",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412939",
            "telephone_number": "319-358-6520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 5TH ST",
            "address_2": "SUITE 202",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412939",
            "telephone_number": "319-358-6520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "MOLLIE",
        "credential": "PHD HSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-11",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IA",
            "license": "079938",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annette Elise Buck, RDN, LD
• Erin Bughman, LMSW
• Hannah Buikema
• Margaret Emma Burchianti, DNP, ARNP, PMHNP-BC
• Lynn Burham, MS
• Nicholas Ryan Butler, MD
• Cynthia Ellen Butters, PHARMACIST
• Sara L Butterworth, O.D.
• C R Pharmacy Service Inc (CarePro Home Medical)
• Jacqueline Rose Caffarelli

• Psychologist in Coralville, IA
• Providers in Coralville, IA by specialty
• Psychologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; 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.