Kathryn A Bourke, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY16571 Issued in CA

Practice address

436 W 20TH St
Merced, CA 95340-3714

Phone

(209) 384-8808

NPI assigned

Oct 17, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Kathryn a.Bourke, Psy. D., Inc.

  • Clinical Psychologist
  • Merced, CA
  • NPI 1558661041
  Medicare reassignment NPD Authorized official
• The Bridge, J. Stanley Bunce, PH.D., & Associates

  • Clinical Psychologist
  • Merced, CA
  • NPI 1073646899
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300838400000",
    "number": "1477634673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 W 20TH ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953403714",
            "telephone_number": "209-384-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 W 20TH ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953403714",
            "telephone_number": "209-384-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURKE",
        "first_name": "KATHRYN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2011-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY16571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mario Borge
• Toni Borges VII
• Marina Botelho
• Kevin Joseph Bottorff, LPT
• Leila Boubshait, M.D.
• Austin Outlaw Bowden, DO
• Jeremy Bowen, ATC
• Gillian Leigh Bowler, SLPA
• Christina Michelle Bowman
• Elizabeth Anne Boyer

• Clinical Psychologist in Merced, CA
• Providers in Merced, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.