Organization Active NPI

Catherine L. Bourne, MSW

  • Marriage & Family Therapist
  • Seminole, FL
National Provider Identifier
1164967717
Registry record updated Jan 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT917 Issued in FL
Legal business name
CATHERINE L. BOURNE, MSW
Practice address
7170 125TH St
Seminole, FL 33772-5503
Phone
(727) 397-7974
Fax
(727) 397-7974
NPI assigned
Jan 5, 2017
Last updated
Jan 5, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Catherine Lisa Bourne, MSWNPI 1225145535
Title
Sole Proprietor
Phone
(727) 397-7974

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X MT917 FL Primary

Addresses

Primary practice location

7170 125TH St
Seminole, FL 33772-5503

Mailing address

7170 125TH St
Seminole, FL 33772-5503
Phone (727) 397-7974

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483574400000",
    "number": "1164967717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7170 125TH ST",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337725503",
            "telephone_number": "727-397-7974",
            "fax_number": "727-397-7974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7170 125TH ST",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337725503",
            "telephone_number": "727-397-7974",
            "fax_number": "727-397-7974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHERINE L. BOURNE, MSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-01-05",
        "status": "A",
        "authorized_official_last_name": "BOURNE",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "LISA",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "727-397-7974",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seminole, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.