1. Home
  2. Directory
  3. Michigan
  4. Shelby Township
  5. Psychologist
  6. NPI Profile

KRISTINE BURGESS MA
NPI 1578160347
Psychologist - Clinical in Shelby Township, MI

Active since October 05, 2020
50258 VAN DYKE AVE, SHELBY TOWNSHIP, MI 48317(586) 884-4714 Get Directions Write a Review

NPPES record last updated: October 5, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kristine Burgess Ma NPPES

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

KRISTINE BURGESS MA (NPI 1578160347) is an individual clinical provider in Shelby Township, Michigan, licensed in Michigan (6362009234) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1578160347
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameKRISTINE BURGESSCredential: MA
Location Address50258 VAN DYKE AVEShelby Township, MI 48317-1374
Mailing Address50571 Newcastle DrChesterfield, MI 48047-1716 · (586) 202-1426
Phone(586) 884-4714
Sole ProprietorNo
Enumeration DateOctober 5, 2020
NPPES CertifiedSeptember 29, 2020
✔ NPI 1578160347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MI · 6362009234
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
50258 VAN DYKE AVE, Shelby Township, MI 48317
Open in Google Maps ↗

Other Identifiers 1

Other813601247MI · 1225583248

Other Providers at the Same Location NPPES 3

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

RANDAL SCOTT NEARY
Counselor (Professional)
50258 VAN DYKE AVE
SHELBY TWP, MI 48317
Macomb County (586) 884-4717
MRS. SARAH DIETZ LLMSW
Social Worker
50258 VAN DYKE AVE
SHELBY TOWNSHIP, MI 48317
Macomb County (586) 884-4714
JAMES GADD
Counselor
50258 VAN DYKE AVE
SHELBY TWP, MI 48317
Macomb County (586) 884-4714

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 Kristine Burgess's NPI number?

The NPI number for Kristine Burgess is 1578160347. It was assigned to this individual provider in the NPPES registry on October 5, 2020.

Where is Kristine Burgess located?

Kristine Burgess practices at 50258 Van Dyke Ave, Shelby Township, MI 48317. The listed phone number is (586) 884-4714.

What is Kristine Burgess's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Kristine Burgess was last updated on October 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.