DR. JOHN MICHAEL BURKE (NPI# 1205954898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205954898 |
| Entity Type | Individual |
| Full Name | DR. JOHN MICHAEL BURKE |
| Credential | PH.D. |
| Practice Address |
473 N San Pedro St San Jose CA 95110-2229 |
| Mailing Address |
636 Market St Santa Cruz CA 95060-1930 |
| Practice Telephone | 4089754554 |
| Mailing Telephone | 8314201206 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY #21248 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336648153 | John Thomas Burke | Social Worker | 46 Saint Theresa Ave, West Roxbury, MA 02132-3417 | 2018-02-07 |
| 1760996318 | John Mccawley Burke | Acupuncturist | 615a United St, Key West, FL 33040-3229 | 2017-11-17 |
| 1033597810 | John Dennis Burke | Speech-Language Pathologist | 4635 Wentworth Drive, Rapid City, SD 57702 | 2015-05-12 |
| 1053652016 | John Douglas Burke | Pharmacist | 2908 Kinlock Rd, La Grange, KY 40031-9465 | 2013-03-14 |
| 1568607257 | John Charles Burke | Specialist | 19 Ludlow Rd Ste 202, Westport, CT 06880-3040 | 2008-12-09 |
| 1770735383 | John C. Burke | Dentist | 10343 W Lincoln Hwy, Frankfort, IL 60423-1280 | 2008-10-14 |
| 1629263009 | John Lonergan Burke Jr. | Acupuncturist | 41-044 Aloiloi St, Waimanalo, HI 96795-1622 | 2007-09-10 |
| 1326061441 | John Joseph Burke Jr. | Psychologist | 270 Union St Ste 3, Lynn, MA 01901-1349 | 2006-07-26 |
| 1700888492 | John Michael Burke | Optometrist | 2630 Peters Creek Pkwy, Winston-salem, NC 27127-5655 | 2005-08-11 |
| 1396249355 | John Edward Burke | Orthopaedic Surgery | 655 West 8th Street, 2nd Floor, Ambulatory Care Center, Jacksonville, FL 32209 | 2018-03-22 |
| Street Address |
473 N SAN PEDRO ST |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95110-2229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356876064 | Clarissa Sherrill Chan | Physician Assistant | 685 Coleman Ave Ste 20, San Jose, CA 95110 | 2017-05-01 |
| 1366895666 | Lifemoves - Autumn Satellite Clinic | Case Management | 263 N Autumn St, San Jose, CA 95110 | 2016-07-21 |
| 1487067278 | Catholic Charities of Scc | Community/Behavioral Health | 921 S 1st St, San Jose, CA 95110 | 2014-06-09 |
| 1871855916 | Act for Mental Health, Inc | Psychologist | 441 Park Avenue, San Jose, CA 95110 | 2012-06-14 |
| 1730451238 | Jackson Huang | Nurse Practitioner | 685 Coleman Ave, San Jose, CA 95110 | 2012-01-31 |
| 1104000405 | Kaitlyn Brownell | Case Manager/Care Coordinator | 150-a S. Autumn St., San Jose, CA 95110 | 2007-12-21 |
| 1760685218 | Sharon Iwen Wang | Psychologist | 2033 Gateway Pl Fl 5, San Jose, CA 95110 | 2007-06-11 |
| 1528192036 | Wanda Broadie Alexander | Social Worker | 441 Park Ave, San Jose, CA 95110 | 2007-03-15 |
| 1750442208 | Mario Ricardo Ponce | Counselor | 70 West Hedding Street, County of Santa Clara, San Jose, CA 95110 | 2006-12-12 |
| 1467426882 | Lannie S. Zarate-reyes D.d.s., Inc. | Dentist | 579-10 Coleman Avenue, San Jose, CA 95110 | 2006-02-14 |
| Find all providers in zip 95110 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861023020 | Widyasita Sawyer | Psychologist | 1189 Curtner Ave, San Jose, CA 95125-3618 | 2020-01-27 |
| 1861030033 | Maria-christina Stewart | Psychologist | 3141 Stevens Creek Blvd # 40167, San Jose, CA 95117-1141 | 2019-12-18 |
| 1306404504 | Palak Dipak Kothari | Psychologist | 20 S 2nd St Unit 425, San Jose, CA 95113-2532 | 2019-06-03 |
| 1942762299 | Dr. Danessa Mayo, Phd | Psychologist | 1190 Lincoln Ave Ste 7, San Jose, CA 95125-3036 | 2019-04-04 |
| 1104362433 | Samantha Kountz-edwards | Psychologist | 1588 Hallbrook Dr, San Jose, CA 95118-1611 | 2017-01-10 |
| 1306243530 | Kell Fujimoto | Psychologist | 2845 Moorpark Ave, Suite 203, San Jose, CA 95128-3158 | 2014-12-03 |
| 1174964092 | Brandi Marche Brooks | Psychologist | 1866 Half Pence Way, San Jose, CA 95132 | 2013-07-08 |
| 1306181284 | Marion Marsha Wadley | Psychologist | 1443 Lupton Ave, San Jose, CA 95125-3847 | 2012-12-04 |
| 1639433709 | Janice Jaishika Raj | Psychologist | 2400 Moorpark Ave., #300, San Jose, CA 95128 | 2012-07-03 |
| 1114296803 | Amanda M Walters | Psychologist | 1101 S Winchester Blvd Ste P297, San Jose, CA 95128 | 2011-12-24 |
| Find all providers in SAN JOSE | ||||
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| 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.