KATHLEEN ANNE BOURNE PHD
NPI 1770615072
Psychologist - Clinical in Berkeley, CA
About Kathleen Anne Bourne Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHLEEN ANNE BOURNE PHD (NPI 1770615072) is an individual clinical provider in Berkeley, California, licensed in California (PSY14398) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (1990).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
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
Kathleen Anne Bourne Phd 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94705 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kathleen Bourne's NPI number?
The NPI number for Kathleen Bourne is 1770615072. It was assigned to this individual provider in the NPPES registry on March 12, 2007. The provider is also known as Kate Bourne Phd.
Where is Kathleen Bourne located?
Kathleen Bourne practices at 3036 Regent St, Berkeley, CA 94705. The listed phone number is (510) 295-7941.
What is Kathleen Bourne's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Kathleen Bourne enrolled in Medicare?
Yes. Kathleen Bourne 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 Kathleen Bourne was last updated on August 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Kathleen Anne Bourne, PHD · NPI 1770615072
Clinical provider in Berkeley, California. Individual provider, active in the CMS NPPES registry since March 12, 2007.
## Identity
- **NPI:** 1770615072 (Entity type: Individual)
- **Enumerated:** March 12, 2007
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** PSY14398 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3036 REGENT ST, Berkeley, CA 94705-2551
- **Phone:** (510) 295-7941
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** University Of Southern California Keck School Of Medicine, class of 1990
## Record status
- **NPPES last updated:** August 2, 2016
- **Other identifiers:** Medicare ID-Type Unspecified CP14398 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1770615072) · Data from the CMS NPPES public registry.