Individual provider Active NPI

Erica Beth Burck, DNP, APRN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Beachwood, OH
National Provider Identifier
1558193110
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0037178 Issued in OH
Practice address
3401 Enterprise Pkwy Ste 250
Beachwood, OH 44122-7343
Phone
(216) 765-0500
NPI assigned
Aug 14, 2024
Last updated
Sep 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0037178 OH Primary

Addresses

Primary practice location

3401 Enterprise Pkwy Ste 250
Beachwood, OH 44122-7343

Mailing address

3401 Enterprise Pkwy Ste 250
Beachwood, OH 44122-7343
Phone (216) 765-0500

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: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0037178OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emily Program PC Single Specialty Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1558193110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 ENTERPRISE PKWY STE 250",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441227343",
            "telephone_number": "216-765-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 ENTERPRISE PKWY STE 250",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441227343",
            "telephone_number": "216-765-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCK",
        "first_name": "ERICA",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-14",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0037178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.