Active NPIIndividual providerSole proprietor

Dr. Ekaterina V Burdo, PSYD

Psychologist, Clinical in Jamaica Plain, Massachusetts

NPI Number1508179094
Practice location
170 Morton St, Jamaica Plain, MA 02130-3735
Fax
617-522-7888
Last updated
July 26, 2010

Ekaterina Victoria Burdo is a Psychologist, Clinical based in Jamaica Plain, MA. Ekaterina Victoria Burdo practices in Jamaica Plain, MA and has the professional credentials of PSYD. The NPI Number for Ekaterina Victoria Burdo is 1508179094 and holds a License No. 8920 (MA). The current practice location address for Ekaterina Victoria Burdo is 170 Morton St, Jamaica Plain, MA 02130-3735 and can be reached out via phone at 617-371-3888 and via fax at 617-522-7888.

Provider Profile Details

NPI Number
1508179094
Provider Name
Ekaterina Victoria Burdo
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
170 Morton St, Jamaica Plain, MA 02130-3735
Phone Number
617-371-3888
Fax Number
617-522-7888
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
July 26, 2010
Last Update Date
July 26, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
170 Morton St
Jamaica Plain, MA 02130-3735
Zip
02130-3735
Phone Number
617-371-3888
Fax Number
617-522-7888
Jamaica Plain, MA 02130Get directions →

Provider Business Mailing Address Details

Address
45 Fottler RD
Apt 3
Mattapan, MA 02126-3140
City
Mattapan
State
MA
Zip
02126-3140
Phone Number
617-849-1033
Fax Number
617-522-7888

License Information

License Number
8920
License State
MA
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Ekaterina V Burdo, PSYD?

The NPI number of Dr. Ekaterina V Burdo, PSYD is 1508179094. It was assigned on July 26, 2010 and is currently active in the NPPES registry.

What is the specialty of Dr. Ekaterina V Burdo, PSYD?

Dr. Ekaterina V Burdo, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 8920.

Where does Dr. Ekaterina V Burdo, PSYD practice?

The practice location is 170 Morton St, Jamaica Plain, MA 02130-3735. The office can be reached at 617-371-3888 (phone) or 617-522-7888 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1508179094 directly on the NPPES registry website.

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