Individual provider Active NPI

Mary Catherine Burke, PH.D.

  • Counseling Psychologist
  • Pittsburgh, PA
National Provider Identifier
1609291004
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PS017511 Issued in PA
Practice address
1900 Murray Ave Ste 206
Pittsburgh, PA 15217-1657
Phone
(315) 317-5766
NPI assigned
Feb 22, 2014
Last updated
Nov 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X PS017511 PA Primary

Addresses

Primary practice location

1900 Murray Ave Ste 206
Pittsburgh, PA 15217-1657

Mailing address

1900 Murray Ave Ste 206
Pittsburgh, PA 15217-1657
Phone (315) 317-5766

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201124000484 PA Practitioner - Clinical Psychologist 0840601852 Practice locations: Pittsburgh, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS017511PAMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Psychological Services PastSince Nov 5, 2011 Accepting new patients
The Circulatory Center of PA, Inc. 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, 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": "1393027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1609291004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 MURRAY AVE STE 206",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152171657",
            "telephone_number": "315-317-5766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 MURRAY AVE STE 206",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152171657",
            "telephone_number": "315-317-5766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "MARY",
        "middle_name": "CATHERINE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-22",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PA",
            "license": "PS017511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.