LINDA ELLEN BURKE (PH.D.) – Mental Health Counselor, NPI 1063436137

LINDA ELLEN BURKE (PH.D.) is a healthcare provider. based in Danvers, Massachusetts. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. PY8193 (MA). The NPI Number for LINDA ELLEN BURKE (PH.D.) is 1063436137

Main info

Female
Sole Proprietor
28 Years Of Experience
Accepts Medicare Assignment
Name
LINDA ELLEN BURKE (PH.D.)
NPI
1063436137
Phone
(617) 869-5502
Address
130 CENTRE ST
Enumeration Date
26 July 2006
Last Update Date
9 October 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6178695502
Graduation Year
1998 (28 years ago)
PAC ID
9830132935
Professional Enrollment ID
I20171229001611
Address ID
NH038242023DU20XXXRDXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,694 CLINICAL PSYCHOLOGIST in MA

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Provider Addresses for LINDA ELLEN BURKE (PH.D.)

  • Wadsworth School, 130, Centre Street, Danvers Center, Danvers, Essex County, Massachusetts, 01923-1014, United States

    SCHOOLHOUSE #202B

    DANVERS, MA 019231400

    Phone: (617) 869-5502

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-12-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050609000585IClinical PsychologistMATBD
I20171229001611IClinical PsychologistNHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01923)

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Reviews

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Frequently asked questions

What federal number belongs to LINDA ELLEN BURKE (PH.D.)?
The federal identifier for LINDA ELLEN BURKE (PH.D.) is NPI 1063436137.
Is LINDA ELLEN BURKE (PH.D.) currently active in the NPI registry?
CMS-published data lists LINDA ELLEN BURKE (PH.D.) as an active registrant.
What kind of provider is LINDA ELLEN BURKE (PH.D.)?
The page reflects Mental Health Counselor for LINDA ELLEN BURKE (PH.D.). Clinical services aligned with this taxonomy classification.
Where does public data place LINDA ELLEN BURKE (PH.D.)?
The snapshot lists Danvers, Massachusetts for LINDA ELLEN BURKE (PH.D.); download NPPES for the complete set.
What if Danvers, Massachusetts seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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