DR. DOROTHY DAWSON BURLAGE PH.D.
NPI 1679697130
Psychologist in Newton, MA

Active since March 19, 2007Opted out of Medicare · through Jan 21, 2028
166 OAKLEIGH RD, NEWTON, MA 02458(617) 969-2442 Get Directions Write a Review

NPPES record last updated: July 10, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Dorothy Dawson Burlage Ph.d. NPPES

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

DR. DOROTHY DAWSON BURLAGE PH.D. (NPI 1679697130) is an individual psychologist in Newton, Massachusetts, licensed in Massachusetts (MA2436) and active in the NPI registry since March 2007. She has opted out of Medicare through January 21, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1679697130
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. DOROTHY DAWSON BURLAGECredential: PH.D.
Location Address166 OAKLEIGH RDNewton, MA 02458-2224
Mailing Address166 Oakleigh RdNewton, MA 02458-2224 · (617) 969-2442
Sole ProprietorYes
Enumeration DateMarch 19, 2007
Last NPPES UpdateJuly 10, 2007
NPI 1679697130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MA · MA2436
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
166 OAKLEIGH RD, Newton, MA 02458

Other Identifiers 2

Medicare ID-Type UnspecifiedBUW50670MA
Medicare UPINWO2617MA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Dorothy Dawson Burlage Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 21, 2016 through January 21, 2028.

Opt-Out Effective DateJanuary 21, 2016
Opt-Out In Effect ThroughJanuary 21, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Dorothy Burlage's NPI number?

The NPI number for Dorothy Burlage is 1679697130. It was assigned to this individual provider in the NPPES registry on March 19, 2007.

Where is Dorothy Burlage located?

Dorothy Burlage practices at 166 Oakleigh Rd, Newton, MA 02458. The listed phone number is (617) 969-2442.

What is Dorothy Burlage's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Dorothy Burlage enrolled in Medicare?

No. Dorothy Burlage has opted out of Medicare through January 21, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Dorothy Burlage accept?

Health plans from Anthem Blue Cross and Blue Shield list Dorothy Burlage as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dorothy Burlage was last updated on July 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.