npidexNPI registry + Medicare data

PEGGY BURKE, PH.D.

Clinical Child & Adolescent Psychologist · GRAND RAPIDS, MI

Individual Active Opted out of Medicare NPI 1124230644

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Clinical Child & Adolescent Psychologist103TC2200X✓6301007618MI
Psychologist103T00000X6301007618MI
Adult Development & Aging Psychologist103TA0700X6301007618MI
Cognitive & Behavioral Psychologist103TB0200X6301007618MI
Clinical Psychologist103TC0700X6301007618MI

Medicare eligibility

Part B
Yes
DME
Yes
Home health
No
Power mobility
No
Hospice
No

Opted out of Medicare (Clinical Psychologist), effective 2009-08-01 through 2027-08-01.

Other Clinical Child & Adolescent Psychologist providers in Michigan

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.