Kathryn a.Bourke, Psy. D., Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY 16571 Issued in CA

Legal business name

KATHRYN A.BOURKE, PSY. D., INC.

Practice address

436 W 20TH St
Merced, CA 95340-3714

Phone

(209) 384-8808

NPI assigned

Oct 30, 2010

Last updated

Mar 23, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kathryn A. Bourke, PSY. D.NPI 1477634673

Title

Owner/President

Phone

(209) 384-8808

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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.

• Kathryn A Bourke, PSYD

  • Clinical Psychologist
  • Merced, CA
  • NPI 1477634673
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1288396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300838400000",
    "number": "1558661041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2743",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953440743",
            "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": {
        "organization_name": "KATHRYN A.BOURKE, PSY. D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-30",
        "last_updated": "2011-03-23",
        "status": "A",
        "authorized_official_last_name": "BOURKE",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "209-384-8808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY. D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 16571",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CA",
            "license": "PSY 16571",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sukhdip Kaur Kang, MD
• Tonya Kang, MS, SLP
• Charlie Loc Kano, MD
• Janet Kasper
• Emilie Kassin
• Amandeep Kaur
• Amandeep Kaur, MD
• Gurleen Kaur
• Gurneet Kaur, M.D
• Gurpreet Kaur

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.