Individual provider Active NPI

Eileen Kologinsky Burkart, PH.D.

  • Clinical Psychologist
  • Providence, RI
National Provider Identifier
1922137306
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS00321 Issued in RI
Practice address
444 Angell St
Second Floor
Providence, RI 02906-4445
Phone
(401) 273-5115
Fax
(401) 273-8388
NPI assigned
Mar 3, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PS00321 RI Primary

Addresses

Primary practice location

444 Angell St
Second Floor
Providence, RI 02906-4445

Mailing address

444 Angell St
Second Floor
Providence, RI 02906-4445
Phone (401) 273-5115

Other identifiers 2

IdentifierTypeStateIssuer
407465OtherRIBLUE CHIP PROVIDER
9324-4OtherRIPROVIDER, RI BLUE CROSS

Other names 1

  • Dr. Eileen Frances Burkart Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1172880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922137306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 ANGELL ST",
            "address_2": "SECOND FLOOR",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029064445",
            "telephone_number": "401-273-5115",
            "fax_number": "401-273-8388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 ANGELL ST",
            "address_2": "SECOND FLOOR",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029064445",
            "telephone_number": "401-273-5115",
            "fax_number": "401-273-8388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKART",
        "first_name": "EILEEN",
        "middle_name": "KOLOGINSKY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "RI",
            "license": "PS00321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP PROVIDER",
            "identifier": "407465",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER, RI BLUE CROSS",
            "identifier": "9324-4",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EILEEN",
            "last_name": "BURKART",
            "middle_name": "FRANCES",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.