Clare Burke Swanson

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

72324 Issued in CT

Practice address

399 E Putnam Ave Ste 2
Cos Cob, CT 06807-2558

Phone

(203) 541-1154

NPI assigned

Apr 9, 2018

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

Other names 1

• Clare Storey Burke Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 27, 2022 through Oct 27, 2026

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1851898746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 E PUTNAM AVE STE 2",
            "city": "COS COB",
            "state": "CT",
            "postal_code": "068072558",
            "telephone_number": "203-541-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 E PUTNAM AVE STE 2",
            "city": "COS COB",
            "state": "CT",
            "postal_code": "068072558",
            "telephone_number": "203-541-1154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "CLARE",
        "middle_name": "BURKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-09",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "72324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLARE",
            "last_name": "BURKE",
            "middle_name": "STOREY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Daniel Stroup III, LMT
• Daeyoung Sullivan, L.AC
• Mary M Sullivan, LCSW
• Mark Robert Sutton, DDS
• Sean Sutton, D.D.S.
• Kenneth Barry Temple, DDS
• Jill V. Tesei, A.P.R.N.
• Bonnie Thaler
• Christine L. Tierney, D.M.D.
• Chaula K. Vora, M.D.

• Psychiatry Physician in Cos Cob, CT
• Providers in Cos Cob, CT by specialty
• Psychiatry Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.