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DR. MARY G BURKE MD
NPI 1942304084
Psychiatry & Neurology - Child & Adolescent Psychiatry in Greenbrae, CA

Active since September 11, 2006PECOS Enrolled
1350 SOUTH ELISEO DRIVE, SUITE 220, GREENBRAE, CA 94904(415) 464-0411(415) 464-0422 Get Directions Write a Review

NPPES record last updated: August 28, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Mary G Burke Md NPPES

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

DR. MARY G BURKE MD (NPI 1942304084) is an individual child & adolescent psychiatry provider in Greenbrae, California, licensed in California (G68366) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942304084
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameDR. MARY G BURKECredential: MD
Location Address1350 SOUTH ELISEO DRIVE, SUITE 220Greenbrae, CA 94904
Mailing Address1350 South Eliseo Drive, Suite 220Greenbrae, CA 94904 · (415) 464-0411 · Fax (415) 464-0422
Phone(415) 464-0411
Fax(415) 464-0422
Sole ProprietorNo
Enumeration DateSeptember 11, 2006
Last NPPES UpdateAugust 28, 2013
✔ NPI 1942304084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in CA · G68366
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
1350 SOUTH ELISEO DRIVE, Greenbrae, CA 94904
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mary G Burke Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mary Burke reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

City & County Of San Francisco
12 mi
Primary Care
729 FILBERT ST
San Francisco, CA 94133
  • Reassigned Medicare billing, California enrollment
  • 1,573 clinicians in this Medicare group
NPI 1023579356 (415) 352-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

MARY REBECCA CONROY NP
Nurse Practitioner (Adult Health)
1350 SOUTH ELISEO DRIVE, SUITE 140
GREENBRAE, CA 94904
Marin County (415) 925-7450

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 Mary Burke's NPI number?

The NPI number for Mary Burke is 1942304084. It was assigned to this individual provider in the NPPES registry on September 11, 2006.

Where is Mary Burke located?

Mary Burke practices at 1350 South Eliseo Drive Suite 220, Greenbrae, CA 94904. The listed phone number is (415) 464-0411.

What is Mary Burke's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Mary Burke enrolled in Medicare?

Yes. Mary Burke is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mary Burke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Burke reassigns Medicare benefits to City & County Of San Francisco (San Francisco, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Burke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mary Burke was last updated on August 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.