KATHERINE BURDICK (NPI# 1013263607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013263607 |
| Entity Type | Individual |
| Full Name | KATHERINE BURDICK |
| Credential | LMFT |
| Practice Address |
642 Hilliard St Ste 1302 Manchester CT 06042-2705 |
| Practice Telephone | 8607485441 |
| Practice Fax Number | 8608122442 |
| Mailing Telephone | 8607485441 |
| Mailing Fax Number | 8608122442 |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2018-09-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 1537 | CT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 008041648 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013046648 | Katherine Burdick | Psychologist | The Zucker Hillside Hospital - Dept of Psychology, 75-59 263rd Street, Glen Oaks, NY 11004 | 2007-03-02 |
| 1225492879 | Katherine Burdick | Nurse Practitioner | 1656 Champlin Ave, Utica, NY 13502-4830 | 2016-04-11 |
| 1922424753 | Katherine Burdick | Counselor | 4572 S Hagadorn Rd Ste 1c, East Lansing, MI 48823-5385 | 2014-03-18 |
| Street Address |
642 HILLIARD ST STE 1302 |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06042-2705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306389424 | Katie Burdick, LLC | Marriage & Family Therapist | 642 Hilliard St Ste 1302, Manchester, CT 06042-2705 | 2016-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275000960 | Nicole Berger | Behavioral Analyst | 199 Tudor Lane, Apartment E, Manchester, CT 06042 | 2018-10-31 |
| 1902336522 | Karen Scandura | Pharmacist | 260 North Main Street, Manchester, CT 06042 | 2017-06-15 |
| 1053727479 | Sph3enterprise, LLC | Dentist | 194 Buckland Hills Drive, Manchester, CT 06042 | 2014-07-07 |
| 1962657288 | Anthony Michael Gioscia | Optometrist | 344v Buckland Hills Dr, Manchester, CT 06042 | 2008-12-01 |
| 1467635714 | Linda Fernald Gates | Dietitian, Registered | 300 Parker St, Manchester, CT 06042 | 2007-12-10 |
| 1669513909 | Carlos Alfonso Gonzalez | Psychiatry & Neurology | 317 North Main Street, C/o Ccgc, Manchester, CT 06042 | 2007-02-09 |
| 1942350467 | Lise G. O'neill | Counselor | Manchester Memorial Hospital, 71 Haynes St, Manchester, CT 06042 | 2007-01-10 |
| 1558439398 | Jason Allen Sousa | Chiropractor | 1127 Tolland Turnpike, Suite 102, Manchester, CO 06042 | 2006-12-01 |
| 1245332444 | Sharon Soria | Dentist | 192 Main Street, Manchester, TN 06042 | 2006-09-01 |
| 1699732206 | First Choice Health Centers, Inc. | Clinic/Center | 150 N Main St Ste 240, Manchester, CT 06042 | 2006-04-27 |
| Find all providers in zip 06042 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891300539 | Mandy Tiedeman | Marriage & Family Therapist | 21 Middle Tpke E, Manchester, CT 06040-4249 | 2020-09-10 |
| 1144770264 | Mending Hearts, LLC | Marriage & Family Therapist | 381 Center St, Ste A, Manchester, CT 06040-3924 | 2016-10-12 |
| 1760831366 | Samantha Micael | Marriage & Family Therapist | 200 West Center Street, Suite C-2-6, Manchester, CT 06040 | 2016-06-06 |
| 1548627243 | Mary Ann Francis | Marriage & Family Therapist | 381 Center St Ste A, Manchester, CT 06040-3924 | 2016-01-26 |
| 1437597069 | Jessica Arnold | Marriage & Family Therapist | 75 Lenox St, Manchester, CT 06040-4321 | 2013-06-05 |
| 1992095046 | Candice Woods Alizio | Marriage & Family Therapist | 1750 Elm St Ste 102, Manchester, NH 03104-2919 | 2011-04-11 |
| 1073802211 | Joanna Karp | Marriage & Family Therapist | 114 Waranoke Rd, Manchester, CT 06040-4559 | 2011-03-28 |
| 1457687626 | Jennifer Morel Anderson | Marriage & Family Therapist | 17 Carman Rd, Manchester, CT 06042-1717 | 2009-10-23 |
| 1235363607 | Elizabeth Amy Palazzolo | Marriage & Family Therapist | 69 Bay St, Manchester, NH 03104-3005 | 2009-05-13 |
| 1740475987 | Mary Kilkenny Williams | Marriage & Family Therapist | 40400 Mt View Rd, Manchester, CA 95459 | 2007-09-11 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 06042 |
Please comment or provide details below to improve the information on KATHERINE BURDICK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.