DR. DAVID JOHN BOTKIN PHD
NPI 1487692620
Psychologist - Clinical in South Bend, IN

Q: What is David Botkin's NPI number?

The NPI number for David Botkin is 1487692620. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Q: What is David Botkin'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 David Botkin was last updated on January 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 June 02, 2006

227 N DIXIE WAY STE 240, SOUTH BEND, IN 46637(574) 288-1333 Get Directions Write a Review

NPPES record last updated: January 10, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. David John Botkin Phd NPPES

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

DR. DAVID JOHN BOTKIN PHD (NPI 1487692620) is an individual clinical provider in South Bend, Indiana, licensed in Indiana (20040017) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1487692620

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. DAVID JOHN BOTKINCredential: PHD

Location Address227 N DIXIE WAY STE 240South Bend, IN 46637-3300

Mailing Address227 N Dixie Way Ste 240South Bend, IN 46637-3300

Phone(574) 288-1333

Sole ProprietorNo

Enumeration DateJune 2, 2006

Last NPPES UpdateJanuary 10, 2018

✔ NPI 1487692620 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 IN · 20040017

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.

227 N DIXIE WAY STE 240, South Bend, IN 46637

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Other Identifiers 2

Medicaid100092140AIN

Other000000175977IN · Local Bc/bs Id

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 David Botkin's NPI number?

The NPI number for David Botkin is 1487692620. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is David Botkin located?

David Botkin practices at 227 N Dixie Way Ste 240, South Bend, IN 46637. The listed phone number is (574) 288-1333.

What is David Botkin'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 David Botkin was last updated on January 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.