Active NPI
Frank Bourke, PHD
- Psychologist
- Corning, NY
National Provider Identifier
1295847945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 006562
- Practice address
- 145 E 2 St
Corning, NY 14830 - Phone
- (607) 936-9090
- Fax
- (607) 936-9090
- NPI assigned
- Aug 31, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 006562 | NY | Primary |
Addresses
Primary practice location
145 E 2 St
Corning, NY 14830
Mailing address
145 E 2 St
Corning, NY 14830
Phone (607) 936-9090
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006562 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295847945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 E 2 ST",
"city": "CORNING",
"state": "NY",
"postal_code": "14830",
"telephone_number": "607-936-9090",
"fax_number": "607-936-9090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 E 2 ST",
"city": "CORNING",
"state": "NY",
"postal_code": "14830",
"telephone_number": "607-936-9090",
"fax_number": "607-936-9090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOURKE",
"first_name": "FRANK",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "006562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corning, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.