Patricia Y. Bourdon, M.A., M.F.T.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC40870 Issued in CA

Practice address

141 Duesenberg Dr
Suite 1a
Westlake Village, CA 91362-3416

Phone

(818) 222-8426

NPI assigned

Jun 25, 2007

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

Other identifiers 1

Other names 1

• Miss Patricia Yellen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740486802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 DUESENBERG DR",
            "address_2": "SUITE 1A",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913623416",
            "telephone_number": "818-222-8426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 DUESENBERG DR",
            "address_2": "SUITE 1A",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913623416",
            "telephone_number": "818-222-8426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURDON",
        "first_name": "PATRICIA",
        "middle_name": "Y.",
        "credential": "M.A., M.F.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC40870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIORAL HEALTH",
            "identifier": "10",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "YELLEN",
            "prefix": "MISS",
            "credential": "LICENSED MFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Steven Borg, C.C.P.
• Rachel Bornfeld, LMFT, ATR
• Tiffany Bornn, PHD
• Sarah Holroyde Borrego, LCSW25329
• Alique Boulgourjian, OD
• Vincent Dayton Bovino, DPT
• Madison Nicole Braafhart, AMFT
• Kathleen Elizabeth Bradley, M.D.
• Jennifer Lee Brady, LCSW
• Brainthrive PC

• Marriage & Family Therapist in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Marriage & Family Therapist in California

• 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.

Verify at the official NPI Registry.