Kathleen Anne Bourne, PHD
NPI 1770615072ActiveIndividual· Psychologist, Clinical· Berkeley, CA
Psychologist, Clinical (PHD) in Berkeley, California, trained at University of Southern California Keck School of Medicine (class of 1990). Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1770615072 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | No |
| NPI issued | Mar 12, 2007 |
| Last updated in NPPES | Aug 2, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | PSY14398 | CA |
| Marriage & Family Therapist | 106H00000X | MFT19927 | 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 Practitioner - Clinical Psychologist (CA) |
|---|
Education and affiliations
| Medical school | University of Southern California Keck School of Medicine |
|---|---|
| Graduation year | 1990 |
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
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