Individual provider Active NPI

Candice Rae Burke, PSYD.

  • Psychologist
  • Cherry Hill, NJ
National Provider Identifier
1770354037
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
35SI00735100 Issued in NJ
Practice address
1930 Marlton Pike E Ste J50
Cherry Hill, NJ 08003-4106
Phone
(856) 398-4580
NPI assigned
Jan 15, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 35SI00735100 NJ Primary

Addresses

Primary practice location

1930 Marlton Pike E Ste J50
Cherry Hill, NJ 08003-4106

Mailing address

8 Moorfield CT
Mount Laurel, NJ 08054-5230
Phone (856) 906-7681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20260129000913 NJ Practitioner - Clinical Psychologist 6002394350 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Jersey Coping Clinic LLCGroup PAC ID 9638679764, 2 clinicians

Practice addresses (Care Compare)

751 Route 73 N
Suite 11
Marlton, NJ 08053-3456
Phone (267) 225-1972

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35SI00735100NJMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
South Jersey Coping Clinic LLC CurrentSince Dec 21, 2025 Accepting new patients

Locations

751 Route 73 N
Ste 11
Marlton, NJ 08053
Phone (267) 225-1972

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1770354037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 MOORFIELD CT",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080545230",
            "telephone_number": "856-906-7681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 MARLTON PIKE E STE J50",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080034106",
            "telephone_number": "856-398-4580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "CANDICE",
        "middle_name": "RAE",
        "credential": "PSYD.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00735100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.