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DR. CARRIE DOBBIN BOURGUIGNON PSYD
NPI 1588800668
Psychologist - Clinical in San Rafael, CA

Active since December 19, 2008PECOS EnrolledAccepts Medicare Assignment
908 E ST STE C, SAN RAFAEL, CA 94901(415) 779-8329 Get Directions Write a Review

NPPES record last updated: November 13, 2019. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Nov 13, 2019, Aug 7, 2019 (2 updates tracked since 2019).

About Dr. Carrie Dobbin Bourguignon Psyd NPPES

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

DR. CARRIE DOBBIN BOURGUIGNON PSYD (NPI 1588800668) is an individual clinical provider in San Rafael, California, licensed in California (28829) and active in the NPI registry since December 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1588800668
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. CARRIE DOBBIN BOURGUIGNONCredential: PSYD
Location Address908 E ST STE CSan Rafael, CA 94901-2851
Mailing Address908 E St Ste CSan Rafael, CA 94901-2851 · (415) 779-8329
Phone(415) 779-8329
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateDecember 19, 2008
Last NPPES UpdateNovember 13, 20192 updates tracked since enumeration
✔ NPI 1588800668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · 28829
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
908 E ST STE C, San Rafael, CA 94901
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Other Names 1

Professional Name (2)Dr. Carrie Dobbin Psyd

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Carrie Dobbin Bourguignon Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931533486
PECOS Enrollment IDI20191217000444
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$202.63 typical visit price
range $69.07 – $202.63
Typical copayment $50.65 (range $17.26 – $50.65)
Most-billed visit code 99205
Established Patient
$119.61 typical visit price
range $23.44 – $166.64
Typical copayment $29.90 (range $5.86 – $41.66)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

DR. SARA ABBOT EDRINGTON PSYD
Psychologist (Clinical)
908 E ST STE C
SAN RAFAEL, CA 94901
Marin County (415) 690-8208
EHSAN KARIMIAN DDS, MSD, INC.
Dentist
908 E ST STE C
SAN RAFAEL, CA 94901
Marin County (415) 457-2440
EHSAN KARIMIAN EHSAN KARIMIAN
Dentist (Orthodontics and Dentofacial Orthopedics)
908 E ST STE C
SAN RAFAEL, CA 94901
Marin County (415) 726-1298

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 Carrie Bourguignon's NPI number?

The NPI number for Carrie Bourguignon is 1588800668. It was assigned to this individual provider in the NPPES registry on December 19, 2008. The provider is also known as Dr. Carrie Dobbin Psyd.

Where is Carrie Bourguignon located?

Carrie Bourguignon practices at 908 E St Ste C, San Rafael, CA 94901. The listed phone number is (415) 779-8329.

What is Carrie Bourguignon's specialty?

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

Is Carrie Bourguignon enrolled in Medicare?

Yes. Carrie Bourguignon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Carrie Bourguignon was last updated on November 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.