DR. KYLE J BOURASSA PHD
NPI 1346946993
Psychologist - Clinical in Durham, NC

Q: What is Kyle Bourassa's NPI number?

The NPI number for Kyle Bourassa is 1346946993. It was assigned to this individual provider in the NPPES registry on February 6, 2023.

Q: What is Kyle Bourassa's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Kyle Bourassa was last updated on January 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 06, 2023

508 FULTON ST, DURHAM, NC 27705(919) 286-0411 Get Directions Write a Review

NPPES record last updated: January 30, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Kyle J Bourassa Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KYLE J BOURASSA PHD (NPI 1346946993) is an individual clinical provider in Durham, North Carolina, licensed in North Carolina (6511) and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1346946993

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. KYLE J BOURASSACredential: PHD

Location Address508 FULTON STDurham, NC 27705-3875

Mailing Address508 Fulton StDurham, NC 27705-3875

Phone(919) 286-0411

Sole ProprietorNo

Enumeration DateFebruary 6, 2023

Last NPPES UpdateJanuary 30, 2024

NPPES CertifiedJanuary 30, 2024

✔ NPI 1346946993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in NC · 6511

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

508 FULTON ST, Durham, NC 27705

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS NANCY CAROL LEE LCSW-P, CMSW, MHA

Social Worker (Clinical)

508 FULTON ST, SOCIAL WORK SERVICE (122)
DURHAM, NC 27705

Durham County (919) 286-0411

MS. GWEN ELIZABETH MADILL LCSW

Social Worker (Clinical)

508 FULTON ST, SOCIAL WORK SERVICE
DURHAM, NC 27705

Durham County (919) 286-0411

DYLAN PRIDE HARRIS

Dietitian, Registered

508 FULTON ST
DURHAM, NC 27705

Durham County (919) 286-0411

MELISSA RAKU DAVIS PMHNP

Nurse Practitioner (Psychiatric/Mental Health)

508 FULTON ST
DURHAM, NC 27705

Durham County (720) 628-6224

HILARY D BUCHANAN

Registered Nurse

508 FULTON ST
DURHAM, NC 27705

Durham County (919) 286-0411

MS. RENEE MICHELLE MCCLELLAND AU.D.

Audiologist

508 FULTON ST, ASPS - 126
DURHAM, NC 27705

Durham County (919) 286-6961

DR. DEBORAH ANNE FISHER M.D.

Internal Medicine (Gastroenterology)

508 FULTON ST
DURHAM, NC 27705

Durham County (919) 286-6945

DR. CHRISTOPHER WILDRICK WOODS MD, MPH

Internal Medicine (Infectious Disease)

508 FULTON ST, DURHAM VAMC
DURHAM, NC 27705

Durham County (919) 286-0411

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kyle Bourassa's NPI number?

The NPI number for Kyle Bourassa is 1346946993. It was assigned to this individual provider in the NPPES registry on February 6, 2023.

Where is Kyle Bourassa located?

Kyle Bourassa practices at 508 Fulton St, Durham, NC 27705. The listed phone number is (919) 286-0411.

What is Kyle Bourassa's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Kyle Bourassa was last updated on January 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.