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DR. DENNIS R BOURDO II PSYD
NPI 1861549792
Psychologist - Clinical in Mishawaka, IN

Active since January 04, 2007
1540 TRINITY PL, MISHAWAKA, IN 46545(574) 272-9000(574) 272-9299 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 12, 2025, Jan 31, 2022, Aug 20, 2021 (3 updates tracked since 2021).

About Dr. Dennis R Bourdo Ii Psyd NPPES

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

DR. DENNIS R BOURDO II PSYD (NPI 1861549792) is an individual clinical provider in Mishawaka, Indiana, licensed in Michigan (6301013489) and active in the NPI registry since January 2007. He maintains a secondary practice location in Barksdale Afb.

NPPES Registry Identity

NPI1861549792
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. DENNIS R BOURDO IICredential: PSYD
Location Address1540 TRINITY PLMishawaka, IN 46545-5006
Mailing Address1540 Trinity PlMishawaka, IN 46545-5006 · (574) 272-9000 · Fax (574) 272-9299
Phone(574) 272-9000
Fax(574) 272-9299
Sole ProprietorNo
Enumeration DateJanuary 4, 2007
Last NPPES UpdateSeptember 12, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2025
✔ NPI 1861549792 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 MI · 6301013489
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.

Secondary Practice Location 1

Location 1243 Curtiss Rd Ste 100Barksdale AFB, LA 71110-2425 · Phone (318) 456-6555

Other Identifiers 1

Other205814984MI · Tax Identification

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.

MRS. LAURA GARRIES
Pharmacist
1540 TRINITY PL
MISHAWAKA, IN 46545
St. Joseph County (574) 272-9000
CHRISTINA WETTER RN
Registered Nurse (General Practice)
1540 TRINITY PL
MISHAWAKA, IN 46545
St. Joseph County (574) 272-9000
MARY VERNON
Registered Nurse
1540 TRINITY PL
MISHAWAKA, IN 46545
St. Joseph County (574) 272-9000
JINI VARUGHESE JOHN
Optometrist
1540 TRINITY PL
MISHAWAKA, IN 46545
St. Joseph County (574) 272-9000
MRS. OLUYINKA GRACE OSUNNUGA NP
Nurse Practitioner (Psychiatric/Mental Health)
1540 TRINITY PL
MISHAWAKA, IN 46545
St. Joseph County (765) 674-3321
MARY A KERTES RPH
Pharmacist
1540 TRINITY PL
MISHAWAKA, IN 46545
St. Joseph County (574) 277-9072
LISA MICHELLE RULLI RRT
Respiratory Therapist, Registered
1540 TRINITY PL
MISHAWAKA, IN 46545
St. Joseph County (574) 272-9000
ERIKA MATTERN
Registered Nurse (General Practice)
1540 TRINITY PL
MISHAWAKA, IN 46545
St. Joseph County (574) 277-9000

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 Dennis Bourdo's NPI number?

The NPI number for Dennis Bourdo is 1861549792. It was assigned to this individual provider in the NPPES registry on January 4, 2007.

Where is Dennis Bourdo located?

Dennis Bourdo practices at 1540 Trinity Pl, Mishawaka, IN 46545. The listed phone number is (574) 272-9000.

What is Dennis Bourdo'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 Dennis Bourdo was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.