IndividualActive
Edward Bourg, PH.D.
NPI 1134266554 · Clinical Psychologist · Oakland, CA
Edward Bourg, PH.D. is a Clinical Psychologist provider in Oakland, CA (NPI 1134266554).
Provider details
- NPI number
- 1134266554
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- PSY4990 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
56 Ross Cir
Oakland, CA 94618-1912
Phone: (510) 652-5078
Street-level locationGet directions
Mailing address
56 Ross Cir
Oakland, CA 94618-1912
Registry dates
- Enumerated
- 2007-02-01
- Last updated
- 2007-07-08
Frequently asked questions
- What is Edward Bourg's NPI number?
- Edward Bourg's National Provider Identifier (NPI) is 1134266554, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Edward Bourg's specialty?
- Edward Bourg is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Edward Bourg located?
- Edward Bourg's practice location on file with NPPES is 56 Ross Cir, Oakland, CA 94618-1912.
- What is Edward Bourg's phone number?
- The practice phone number listed in the NPPES registry for Edward Bourg is (510) 652-5078.
- Is Edward Bourg's NPI active?
- Yes — Edward Bourg's NPI (1134266554) is active in the NPPES registry as of the last update on 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.