Individual provider Active NPI

Elizabeth Ann Burk, PH.D.

  • Psychologist
  • Yorktown Heights, NY
National Provider Identifier
1154467785
Registry record updated Oct 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
006569 Issued in NY
Practice address
345 Kear St
Suite 202
Yorktown Heights, NY 10598-4425
Phone
(914) 962-2002
Fax
(914) 962-0618
NPI assigned
Jan 30, 2007
Last updated
Oct 12, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 006569 NY Primary

Addresses

Primary practice location

345 Kear St
Suite 202
Yorktown Heights, NY 10598-4425

Mailing address

300 S Broadway Apt 6D
Tarrytown, NY 10591-5303
Phone (914) 909-0379

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

LicenseStateTypeSpecialty
006569NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223769600000",
    "number": "1154467785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S BROADWAY APT 6D",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105915303",
            "telephone_number": "914-909-0379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 KEAR ST",
            "address_2": "SUITE 202",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105984425",
            "telephone_number": "914-962-2002",
            "fax_number": "914-962-0618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURK",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2008-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "006569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.