IndividualActive
Russell Bourne, PH.D.
NPI 1134166762 · Clinical Psychologist · Jupiter, FL
Provider details
- NPI number
- 1134166762
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- License
- PY5579 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1025 Military Trl
Suite 113
Jupiter, FL 33458-7040
Phone: (561) 748-2889
Fax: (561) 748-1523
Street-level locationGet directions
Mailing address
35 Ocean Dr
Tequesta, FL 33469-3512
Registry dates
- Enumerated
- 2006-06-01
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.