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.

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

Clinical PsychologistPrimary103TC0700XLicense PSY4990 (CA)
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

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Mailing address