Active NPI
Susan Bourdon, RN, MSN, CS
- Adult Psychiatric/Mental Health Registered Nurse
- Pittsburgh, PA
National Provider Identifier
1013946508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Registered Nurse
- License
- RN321656L
- Practice address
- 2345 Murray Ave
Suite 200
Pittsburgh, PA 15217-2352 - Phone
- (412) 421-6770
- Fax
- (412) 421-6596
- NPI assigned
- Jun 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | RN321656L | PA | Primary |
| Professional Counselor | 101YP2500X | RN321656L | PA |
Addresses
Primary practice location
2345 Murray Ave
Suite 200
Pittsburgh, PA 15217-2352
Mailing address
2345 Murray Ave
Suite 200
Pittsburgh, PA 15217-2352
Phone (412) 421-6770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100730154 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Certified Nurse Specialist, Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN321656L | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| B/G Behavioral Health Services PC | Professional | Past | Accepting new patients |
| BG Behavioral Health | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Pittsburgh, PA
- NPI 1629388210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213747200000",
"number": "1013946508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2345 MURRAY AVE",
"address_2": "SUITE 200",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152172352",
"telephone_number": "412-421-6770",
"fax_number": "412-421-6596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2345 MURRAY AVE",
"address_2": "SUITE 200",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152172352",
"telephone_number": "412-421-6770",
"fax_number": "412-421-6596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOURDON",
"first_name": "SUSAN",
"credential": "RN, MSN, CS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-30",
"last_updated": "2008-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "PA",
"license": "RN321656L",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "RN321656L",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100730154",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.