EVELYN TACY BURDICK
NPI 1366223794
Counselor - Mental Health in Boston, MA

Active since October 11, 2023
112 WATER ST STE 203, BOSTON, MA 02109(617) 882-7447 Get Directions Write a Review

NPPES record last updated: October 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evelyn Tacy Burdick NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVELYN TACY BURDICK (NPI 1366223794) is an individual mental health provider in Boston, Massachusetts and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1366223794
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameEVELYN TACY BURDICK
Location Address112 WATER ST STE 203Boston, MA 02109-4225
Mailing Address164 Allston St Apt 2Boston, MA 02134-3604 · (315) 723-9636
Sole ProprietorNo
Enumeration DateOctober 11, 2023
NPPES CertifiedOctober 11, 2023
NPI 1366223794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
112 WATER ST STE 203, Boston, MA 02109

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
112 WATER ST STE 203
BOSTON, MA 02109
Social Worker (Clinical)
112 WATER ST STE 203
BOSTON, MA 02109
Counselor (Mental Health)
112 WATER ST STE 203
BOSTON, MA 02109
Counselor (Mental Health)
112 WATER ST STE 203
BOSTON, MA 02109
Counselor (Mental Health)
112 WATER ST STE 203
BOSTON, MA 02109
Psychologist (Clinical)
112 WATER ST STE 203
BOSTON, MA 02109
Counselor (Mental Health)
112 WATER ST STE 203
BOSTON, MA 02109
Counselor (Mental Health)
112 WATER ST STE 203
BOSTON, MA 02109

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evelyn Burdick's NPI number?

The NPI number for Evelyn Burdick is 1366223794. It was assigned to this individual provider in the NPPES registry on October 11, 2023.

Where is Evelyn Burdick located?

Evelyn Burdick practices at 112 Water St Ste 203, Boston, MA 02109. The listed phone number is (617) 882-7447.

What is Evelyn Burdick's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Evelyn Burdick was last updated on October 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.