NPI 1043965627 · live from the CMS NPI Registry
Taylor Adele Burke, Ph.D.
Psychologist in Boston, MA. National Provider Identifier 1043965627, active.
NPI record
| NPI | 1043965627 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 185 Cambridge St, Boston, MA 02114 |
| Practice phone | 516-680-9250 |
| Mailing address | 42 Adelphi Ave, Providence, RI 02906 |
| Enumerated | February 13, 2022 |
| Last updated | April 4, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist primary | 103T00000X | 11722 (MA) |
| Psychologist | 103T00000X | PS01964 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.