Individual provider Active NPI

Jessica Narr Burke, PSY.D.

  • Clinical Psychologist
  • Guilderland, NY
National Provider Identifier
1699711036
Registry record updated Nov 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
015535 Issued in NY
Practice address
2 Mercycare LN
Guilderland, NY 12084-3505
Phone
(518) 464-8100
NPI assigned
Jun 22, 2006
Last updated
Nov 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 015535 NY Primary

Addresses

Primary practice location

2 Mercycare LN
Guilderland, NY 12084-3505

Mailing address

PO Box 14890
Albany, NY 12212-4890

Other practice location 1

2920 Tibbits Ave
Troy, NY 12180-7077
Phone (518) 274-4125

Other practice location 2

2256 Burdett Ave
Troy, NY 12180-2501
Phone (518) 274-9890

Other practice location 3

1 Abele Dr
Clifton Park, NY 12065-2951
Phone (518) 371-1400

Other practice location 4

40 Autumn Dr
Slingerlands, NY 12159-9356
Phone (518) 482-8774

Other practice location 5

301 Hackett Blvd
Albany, NY 12208-1963
Phone (518) 525-7600

Other practice location 6

421 Columbia St
Cohoes, NY 12047-2217
Phone (518) 238-4152

Other identifiers 1

IdentifierTypeStateIssuer
02432259MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address payer.credentialing@sphp.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20101122001153 NY Practitioner - Clinical Psychologist 1850587486 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Our Lady of Mercy Life CenterGroup PAC ID 7113943846, 4 clinicians
Heritage House Nursing Center, IncGroup PAC ID 1254304520, 4 clinicians
Kingsway Arms Nursing Center, Inc.Group PAC ID 1850368218, 5 clinicians

Practice addresses (Care Compare)

2 Mercycare LN
Guilderland, NY 12084-3505
Phone (518) 464-8100

2920 Tibbits Ave
Troy, NY 12180-7077
Phone (518) 274-4125

323 Kings Rd
Schenectady, NY 12304-3645
Phone (518) 393-4117

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
015535NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Health at Schuyler Ridge Residential Healthcare CurrentSince Sep 2, 2022 Accepting new patients
Villa Mary Immaculate CurrentSince Sep 2, 2022 Accepting new patients
Capital Region Geriatric Center, Inc. CurrentSince Sep 1, 2022 Accepting new patients
Heritage House Nursing Center, Inc CurrentSince Sep 2, 2022 Accepting new patients
Kingsway Arms Nursing Center, Inc. CurrentSince Sep 1, 2025 Accepting new patients
The James a. Eddy Memorial Geriatric Center, Inc. CurrentSince Sep 2, 2022 Accepting new patients
St. Peter's Health Partners Medical Associates, P.C. CurrentSince Sep 2, 2022 Accepting new patients
Our Lady of Mercy Life Center CurrentSince Sep 1, 2022 Accepting new patients

Locations

301 Hackett Blvd
Albany, NY 12208
Phone (518) 525-1297

315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852

1 Abele Dr
Clifton Park, NY 12065
Phone (518) 213-2032

421 Columbia St
Cohoes, NY 12047
Phone (518) 237-5630

2 Mercycare Ln
Guilderland, NY 12084
Phone (518) 464-8100

323 Kings Rd
Schenectady, NY 12304
Phone (518) 393-4117

1300 Massachusetts Ave
Fl 5
Troy, NY 12180

2 New Hampshire Ave
Troy, NY 12180
Phone (518) 272-0331

2256 Burdett Ave
Troy, NY 12180
Phone (518) 274-9890

2920 Upper Tibbits Ave
Troy, NY 12180
Phone (518) 274-4125

Organizations & group practices 9

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669161600000",
    "number": "1699711036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14890",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122124890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MERCYCARE LN",
            "city": "GUILDERLAND",
            "state": "NY",
            "postal_code": "120843505",
            "telephone_number": "518-464-8100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2920 Tibbits Ave",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121807077",
            "country_code": "US",
            "telephone_number": "518-274-4125",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2256 Burdett Ave",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121802501",
            "country_code": "US",
            "telephone_number": "518-274-9890",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Abele Dr",
            "address_purpose": "LOCATION",
            "city": "Clifton Park",
            "state": "NY",
            "postal_code": "120652951",
            "country_code": "US",
            "telephone_number": "518-371-1400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40 Autumn Dr",
            "address_purpose": "LOCATION",
            "city": "Slingerlands",
            "state": "NY",
            "postal_code": "121599356",
            "country_code": "US",
            "telephone_number": "518-482-8774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Hackett Blvd",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122081963",
            "country_code": "US",
            "telephone_number": "518-525-7600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "421 Columbia St",
            "address_purpose": "LOCATION",
            "city": "Cohoes",
            "state": "NY",
            "postal_code": "120472217",
            "country_code": "US",
            "telephone_number": "518-238-4152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURKE",
        "first_name": "JESSICA",
        "middle_name": "NARR",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "015535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02432259",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPHP Payer Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "2 Mercycare Ln",
            "city": "Guilderland",
            "state": "NY",
            "country_code": "US",
            "postal_code": "120843505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Guilderland, NY

Sources for this page

Verify at the official NPI Registry.