Caroline A Burke, PH.D., LP

Primary specialty

SpecialistTaxonomy code 174400000X

License

LP 5471 Issued in MN

Practice address

516 Mission House LN
New Brighton, MN 55112-2571

Phone

(651) 636-5124

NPI assigned

Mar 13, 2012

Sex

Female

Sole proprietor

Yes

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

Enrolled in MN

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1998

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• North Central Ministry Development Center, Inc.

  • Counseling Psychologist
  • New Brighton, MN
  • NPI 1164711735
  Medicare reassignment

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331596800000",
    "number": "1801161641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 SARGENT AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551051532",
            "telephone_number": "651-808-0324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 MISSION HOUSE LN",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551122571",
            "telephone_number": "651-636-5124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "CAROLINE",
        "middle_name": "A",
        "credential": "PH.D., LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-13",
        "last_updated": "2012-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MN",
            "license": "LP 5471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Richard Brustad, L.A.D.C.
• Paul Michael Thorsen Buck, D.D.S., M.D.
• Chesley Ann Buenger, LADC, LPCC
• Pamela Marie Bull, M.A, LPCC
• Scott Carl Burgi, MA
• Steven J Butorac
• Britt Cain, M.S., LPC, NCC
• Lona Caires, D.O.
• Cara Anam, Inc.
• Caring Connection Homes

• Specialist in New Brighton, MN
• Providers in New Brighton, MN by specialty
• Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.