Laura Louise Burkett, M.ED.

Primary specialty

PsychoanalystTaxonomy code 102L00000X

Practice address

3200 Red Lion Rd Apt 17D
Philadelphia, PA 19114-1129

Phone

(215) 637-0451

NPI assigned

Jul 25, 2007

Reactivated

May 24, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

Practice roles

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.

• Child and Family Psychological Services, PLLC

  • Psychologist
  • Norwood, MA
  • NPI 1912987181
  NPD (past)

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1760682991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 RED LION RD APT 17D",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141129",
            "telephone_number": "215-637-0451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 RED LION RD APT 17D",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141129",
            "telephone_number": "215-637-0451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKETT",
        "first_name": "LAURA",
        "middle_name": "LOUISE",
        "credential": "M.ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-25",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "deactivation_date": "2015-11-05",
        "reactivation_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Marie Burke, CRNP, RN
• Susan Burke, COTA,L
• Susan M Burke, PHD, RN, CRNP
• Treasure Burke
• Veronica Rose Burke, RDH, PHDHP, BA
• Brooke Alissa Burkey, M.D.
• Dell Robert Burkey, MD
• Ellen Diane Burkhalter, RN, CRNP
• Jan-Karl Burkhardt, M.D.
• Janine Burkhardt, DMD

• Psychoanalyst in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Psychoanalyst in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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.