Kathleen Anne Bourne, PHD is a medicare enrolled "Psychologist - Clinical" provider in Berkeley, California. She went to University Of Southern California Keck School Of Medicine and graduated in 1990 and has 34 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is
3036 Regent St, Berkeley, California. You can reach out to her office (for appointments etc.) via phone at
(510) 295-7941.
Kathleen Anne Bourne is licensed to practice in California (license number PSY14398) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1770615072.
Healthcare Provider's Profile
Full Name | Kathleen Anne Bourne |
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Gender | Female |
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Speciality | Clinical Psychologist |
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Experience | 34 Years |
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Location | 3036 Regent St, Berkeley, California |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kathleen Anne Bourne attended and graduated from University Of Southern California Keck School Of Medicine in 1990
NPI Data:
- NPI Number: 1770615072
- Provider Enumeration Date: 03/12/2007
- Last Update Date: 08/02/2016
Medicare PECOS Information:
- PECOS PAC ID: 5496927717
- Enrollment ID: I20111011000207
Medical Identifiers
Medical identifiers for Kathleen Anne Bourne such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770615072 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | MFT19927 (California) | Secondary |
103TC0700X | Psychologist - Clinical | PSY14398 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathleen Anne Bourne is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kathleen Anne Bourne, PHD 3036 Regent St, Berkeley, CA 94705-2551 Ph: (510) 295-7941 | Kathleen Anne Bourne, PHD 3036 Regent St, Berkeley, CA 94705-2551 Ph: (510) 295-7941 |
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