Linda S. Bourdon, ED.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810004468 Issued in VA

Practice address

215 McLaws Cir
Suite 1
Williamsburg, VA 23185-5799

Phone

(757) 345-6428

NPI assigned

Mar 11, 2009

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Independence Child Therapy Services

  • Community/Behavioral Health Agency
  • Williamsburg, VA
  • NPI 1275921520
  NPD (past) Authorized official

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

{
    "created_epoch": "1236729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413504000000",
    "number": "1801037460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 MCLAWS CIR",
            "address_2": "SUITE 1",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231855799",
            "telephone_number": "757-345-6428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 MCLAWS CIR",
            "address_2": "SUITE 1",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231855799",
            "telephone_number": "757-345-6428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURDON",
        "first_name": "LINDA",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-11",
        "last_updated": "2014-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher G. Boquist, MD
• Susanna Bose, WHNP-BC
• Sarah E Bott, P.A.
• Imhotep Boukman, MD
• Maureen Bounds, PHARM.D.
• Thomas P. Bowe Jr., D. D. S.
• Katherine Bowles
• Eric W. Boxx, D. M. D.
• Jonathan Michael Boyer, LCSW
• Judith Bradby, RN BSN

• Clinical Psychologist in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; 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.