Bourne Inc

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

BOURNE INC

Practice address

548 N Holliston Ave
Pasadena, CA 91106-1204

Phone

(626) 797-9196

NPI assigned

May 8, 2026

Organization subpart

No

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

Authorized official

Name

Candice Clayton, LCSW

Title

Clinical Director

Phone

(626) 773-2043

Specialties & licenses 1

Addresses

Other names 1

• Holliston STRTP Other name

Tax ID family

Bourne Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

• Bourne Inc

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Altadena, CA
  • NPI 1063942894
  NPD tax ID
• Bourne Inc

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Altadena, CA
  • NPI 1568964021
  NPD tax ID
• Bourne Inc

  • Community/Behavioral Health Agency
  • Altadena, CA
  • NPI 1588194344
  NPD tax ID
• Bourne Inc

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Altadena, CA
  • NPI 1730681297
  NPD tax ID
• Bourne Inc

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Pasadena, CA
  • NPI 1962930982
  NPD tax ID

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

{
    "created_epoch": "1778198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778198400000",
    "number": "1740118017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2235 LAKE AVE STE 212",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910016041",
            "telephone_number": "626-797-9196",
            "fax_number": "626-345-7790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "548 N HOLLISTON AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911061204",
            "telephone_number": "626-797-9196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOURNE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-08",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A",
        "authorized_official_last_name": "CLAYTON",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "626-773-2043",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holliston STRTP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Erika Botello
• Isaias Natan Botello
• Sarah Rafik Morcos Botrus, MS, LMFT
• Carys Keawe Bott
• Douglas Boulware
• Bourne Inc
• Christopher Andre Bourne
• Charriel Marie Bourns
• Jason K Boutros, M.D.
• Lourice Boutros, OD

• Emotionally Disturbed Childrens' Residential Treatment Facility in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; 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.