Kathryn A.Bourke, Psy. D., Inc.
NPI 1558661041ActiveOrganization· Psychologist, Clinical· Merced, CA
Psychologist, Clinical in Merced, California, registered in NPPES in October 2010. The authorized official on file is Kathryn A. Bourke, PSY. D., Owner/President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1558661041 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 30, 2010 |
| Last updated in NPPES | Mar 23, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | PSY 16571 | CA |
| Clinic/Center, Adult Mental Health | 261QM0850X | PSY 16571 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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