Carrie Dobbin Bourguignon, PSYD
NPI 1588800668ActiveIndividual· Psychologist, Clinical· San Rafael, CA
Psychologist, Clinical (PSYD) in San Rafael, California, licensed in CA, with an NPI issued in December 2008. Medicare paid $46,014 for services to 13 patients in 2024.
Overview
| NPI | 1588800668 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSYD |
| Sole proprietor | Yes |
| NPI issued | Dec 19, 2008 |
| Last updated in NPPES | Nov 13, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 28829 | CA |
| Counselor, Mental Health | 101YM0800X | — | — |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
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 Practitioner - Clinical Psychologist (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 13 |
|---|---|
| Services billed | 374 across 4 procedure codes |
| Paid by Medicare | $46,014 |
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
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All 109 clinical psychologists in San Rafael · All clinical psychologists in California