Active NPI
Marnie A Burkman, M.D.
- Psychiatry Physician
- Ann Arbor, MI
National Provider Identifier
1548485352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 4301095515
- Practice address
- 107 Aprill Dr Ste 4
Ann Arbor, MI 48103-1956 - Phone
- (734) 913-0345
- Fax
- (734) 913-0345
- NPI assigned
- Apr 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 45181 | CO | |
| Psychiatry Physician | 2084P0800X | 4301095515 | MI | Primary |
Addresses
Primary practice location
107 Aprill Dr Ste 4
Ann Arbor, MI 48103-1956
Mailing address
107 Aprill Dr Ste 4
Ann Arbor, MI 48103-1956
Phone (734) 913-0345
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Sep 28, 2010 through Sep 28, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45181 | CO | MD | Psychiatry Physician |
| 4301095515 | MI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Womansafehealth | Past | Accepting new patients | |
| Michigan Integrative Psychiatry, PC | Psychiatry | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Ann Arbor, MI
- NPI 1932439601
-
- Medical Specialty Clinic/Center
- Ann Arbor, MI
- NPI 1548434814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324425600000",
"number": "1548485352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 APRILL DR STE 4",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481031956",
"telephone_number": "734-913-0345",
"fax_number": "734-913-0345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 APRILL DR STE 4",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481031956",
"telephone_number": "734-913-0345",
"fax_number": "734-913-0345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKMAN",
"first_name": "MARNIE",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-16",
"last_updated": "2011-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CO",
"license": "45181",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "4301095515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.