Organization Active NPI

Cultivate Your Psyche, PLLC

  • Psychiatry Physician
  • Belmont, MA
National Provider Identifier
1306649363
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
CULTIVATE YOUR PSYCHE, PLLC
Practice address
93 Concord Ave Ste 1
Belmont, MA 02478-4051
Phone
(617) 518-5973
Fax
(617) 507-8100
NPI assigned
Mar 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Authorized official

Name
Dr. Johanna Burke, MDNPI 1629331616
Title
Integrative Adult Psychiatrist
Phone
(617) 518-5973

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

93 Concord Ave Ste 1
Belmont, MA 02478-4051

Mailing address

405 Concord Ave Unit 41
Belmont, MA 02478-7802
Phone (617) 518-5973

Other practice location 1

405 Concord Ave Unit 41
Belmont, MA 02478-7802
Phone (617) 821-9876

National Provider Directory

National Provider Directory

Locations

405 Concord Ave
Unit 41
Belmont, MA 02478
Phone (617) 821-9876

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1743033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777593600000",
    "number": "1306649363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 CONCORD AVE UNIT 41",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024787802",
            "telephone_number": "617-518-5973",
            "fax_number": "617-507-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 CONCORD AVE STE 1",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024784051",
            "telephone_number": "617-518-5973",
            "fax_number": "617-507-8100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 Concord Ave Unit 41",
            "address_purpose": "LOCATION",
            "city": "Belmont",
            "state": "MA",
            "postal_code": "024787802",
            "country_code": "US",
            "telephone_number": "617-821-9876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CULTIVATE YOUR PSYCHE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-27",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "JOHANNA",
        "authorized_official_title_or_position": "INTEGRATIVE ADULT PSYCHIATRIST",
        "authorized_official_telephone_number": "617-518-5973",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmont, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; 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.