Organization Active NPI

Katherine Burdick

  • Marriage & Family Therapist
  • Windsor, CT
National Provider Identifier
1255733911
Registry record updated Sep 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
001537 Issued in CT
Legal business name
KATHERINE BURDICK
Practice address
340 Broad St
Suite 300
Windsor, CT 06095-3030
Phone
(860) 748-5441
NPI assigned
Sep 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2014

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

Authorized official

Name
Katherine Burdick, LMFT
Title
Sole Proprietor
Phone
(860) 748-5441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 001537 CT Primary

Addresses

Primary practice location

340 Broad St
Suite 300
Windsor, CT 06095-3030

Mailing address

340 Broad St
Suite 300
Windsor, CT 06095-3030

National Provider Directory

National Provider Directory

Locations

340 Broad St
Ste 300
Windsor, CT 06095
Phone (860) 748-5441

NPI Registry JSON

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411516800000",
    "number": "1255733911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 BROAD ST",
            "address_2": "SUITE 300",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060953030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 BROAD ST",
            "address_2": "SUITE 300",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060953030",
            "telephone_number": "860-748-5441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHERINE BURDICK",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-24",
        "last_updated": "2014-09-24",
        "status": "A",
        "authorized_official_last_name": "BURDICK",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "860-748-5441",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "001537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; 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.