Dr Nelly E Burdette, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Central Falls, Rhode Island. Her current practice location is
1000 Broad St, Central Falls, Rhode Island. You can reach out to her office (for appointments etc.) via phone at
(401) 722-0081.
Dr Nelly E Burdette is licensed to practice in Massachusetts (license number 8669) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1437299955.
Healthcare Provider's Profile
| Full Name | Dr Nelly E Burdette |
|---|
| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 1000 Broad St, Central Falls, Rhode Island |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1437299955
- Provider Enumeration Date: 02/07/2007
- Last Update Date: 10/15/2025
Medicare PECOS Information:
- PECOS PAC ID: 8628170784
- Enrollment ID: I20070221000304
Medical Identifiers
Medical identifiers for Dr Nelly E Burdette such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1437299955 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103TH0004X | Psychologist - Health | PS01093 (Rhode Island) | Secondary |
| 103TC0700X | Psychologist - Clinical | 8669 (Massachusetts) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Nelly E Burdette is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Nelly E Burdette, PSYD 960 Massachusetts Ave, Fl 2, Boston, MA 02118 Ph: () - | Dr Nelly E Burdette, PSYD 1000 Broad St, Central Falls, RI 02863-1507 Ph: (401) 722-0081 |
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