PHILLIP A BURKE (NPI# 1487269593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487269593 |
| Entity Type | Individual |
| Full Name | PHILLIP A BURKE |
| Practice Address |
41 Pacella Park Dr Randolph MA 02368-1755 |
| Practice Telephone | 7814400400 |
| Mailing Telephone | 7814400400 |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2020-09-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110026265E | 05 |
| Street Address |
41 PACELLA PARK DR |
| City | RANDOLPH |
| State | MA |
| Zip Code | 02368-1755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356318125 | The May Institute, Inc | Psychologist | 41 Pacella Park Dr, Randolph, MA 02368-1755 | 2006-03-01 |
| 1952900227 | Manyun Xie | Counselor | 41 Pacella Park Dr, Randolph, MA 02368-1755 | 2020-10-19 |
| 1558978718 | John H Williams | Counselor | 41 Pacella Park Dr, Randolph, MA 02368-1755 | 2020-09-30 |
| 1326650797 | Nakayla C Raymond | Counselor | 41 Pacella Park Dr, Randolph, MA 02368-1755 | 2020-08-18 |
| 1508478967 | Cynthia L Riley | Behavioral Analyst | 41 Pacella Park Dr, Randolph, MA 02368-1755 | 2020-08-18 |
| 1649881954 | Johanna Dowdy | Counselor | 41 Pacella Park Dr, Randolph, MA 02368-1755 | 2020-08-11 |
| 1124643432 | Kayla Ruth Gordon | Psychologist | 41 Pacella Park Dr, Randolph, MA 02368-1755 | 2020-06-11 |
| 1013531540 | Sacha Shaw | Behavioral Analyst | 41 Pacella Park Dr, Randolph, MA 02368-1755 | 2020-06-01 |
| 1154959542 | Jon Roland | Behavioral Analyst | 41 Pacella Park Dr, Randolph, MA 02368-1755 | 2020-03-31 |
| 1528691409 | Robermann Dorceus | Counselor | 41 Pacella Park Dr, Randolph, MA 02368-1755 | 2020-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962016444 | Kadiatou Djindji Bah | Behavior Technician | 75 N Main St Suite 628, Randolph, MA 02368 | 2020-09-02 |
| 1194334490 | Madison Murphy | Behavior Technician | 75 North Main Street, Ma, Suite #628, Randolph, MA 02368 | 2020-07-23 |
| 1255995049 | Daniel Joseph Bellistri | Social Worker | Daniel Bellistri, 70 Memorial Pkwy., Randolph, MA 02368 | 2019-04-26 |
| 1992291124 | Ashley Lauren Davis | Licensed Practical Nurse | 11 Mcdonnell Drive, Randolph, MA 02368 | 2018-07-11 |
| 1023503943 | Jean Rony Mesalon | Licensed Practical Nurse | 8 Reynolds Ave, Randolph, MA 02368 | 2018-06-22 |
| 1154829208 | Tatianna Lovette Hendren | Behavioral Analyst | 28 Liberty Place, Apartment C, Randolph, MA 02368 | 2018-01-24 |
| 1841709698 | Gerica Barbosa | Counselor | 37 Sarah St, Randolph, MA 02368 | 2017-09-25 |
| 1437508629 | Julie A Panchamsingh-barakat | Social Worker | 400-, 402 N Main St, Randolph, MA 02368 | 2016-06-08 |
| 1497109789 | Grace Dorcas Pokuah | Counselor | 24 Nelson Dr, #1a, Randolph, MA 02368 | 2016-04-22 |
| 1194185868 | Heavenly Home Care | Home Health | 9 William Morrison Drive, Randolph, MA 02368 | 2016-02-24 |
| Find all providers in zip 02368 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063044774 | Safe Space Therapeutic Services, Inc. | Counselor | 10 Mazzeo Dr Ste 206, Randolph, MA 02368-3433 | 2020-02-10 |
| 1336770155 | Crystal Casel | Counselor | 356 Main St E, Randolph, NY 14772-9696 | 2020-01-30 |
| 1386112126 | Bianca S Mathe | Counselor | 55 Birch Dr, Randolph, MA 02368-3406 | 2018-11-09 |
| 1184122566 | Lois T Awah | Counselor | 10 Mill Hill St, Randolph, MA 02368-5082 | 2018-01-31 |
| 1851800114 | Stephanie Jasinski | Counselor | 19 Harmony Rd, Randolph, NJ 07869 | 2017-09-29 |
| 1841709698 | Gerica Barbosa | Counselor | 37 Sarah St, Randolph, MA 02368 | 2017-09-25 |
| 1114462116 | Paula Marie Weaver | Counselor | 25 Norfolk Rd, Randolph, MA 02368-4714 | 2016-12-29 |
| 1902259088 | Grace Gichuhi | Counselor | 286 Canton St, Randolph, MA 02368-1506 | 2016-07-13 |
| 1598117756 | Sharon George | Counselor | 9 Linden Park Dr, Randolph, MA 02368-4703 | 2016-07-12 |
| 1235597576 | Emline Clairvil | Counselor | 278 Canton St, Randolph, MA 02368-1506 | 2016-02-01 |
| Find all providers in RANDOLPH | ||||
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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.