Katie Burdick, LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1537 Issued in CT

Legal business name

KATIE BURDICK, LLC

Practice address

642 Hilliard St Ste 1302
Manchester, CT 06042-2705

Phone

(860) 748-5441

Fax

(860) 812-2442

NPI assigned

Nov 21, 2016

Organization subpart

No

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

Authorized official

Name

Katherine Burdick, LMFTNPI 1013263607

Title

Owner

Phone

(860) 748-5441

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katherine Burdick, LMFT

  • Marriage & Family Therapist
  • Manchester, CT
  • NPI 1013263607
  NPD (past) Authorized official

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537488000000",
    "number": "1306389424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "642 HILLIARD ST STE 1302",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060422705",
            "telephone_number": "860-748-5441",
            "fax_number": "860-812-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "642 HILLIARD ST STE 1302",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060422705",
            "telephone_number": "860-748-5441",
            "fax_number": "860-812-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATIE BURDICK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-21",
        "last_updated": "2018-09-21",
        "status": "A",
        "authorized_official_last_name": "BURDICK",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-748-5441",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "1537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008069258",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charanjeev Singh Kapoor, M.D.
• Nick Karapasas, D.C.
• Karen Foley-Schain Ma Med LLC
• Joanna Karp, LMFT
• Rachel K Katch, ATC, LAT
• Dilpreet Kaur
• Gurpeet Kaur
• Manpreet Kaur, MD
• Alexandra Charlotte Kayat, PA
• Mary Ellen Keating

• Marriage & Family Therapist in Manchester, CT
• Providers in Manchester, CT by specialty
• Marriage & Family Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; 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.