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Mckenzie Bourque
NPI 1417634866 · Clinical Psychologist · Philadelphia, PA
Mckenzie Bourque is a Clinical Psychologist provider in Philadelphia, PA (NPI 1417634866).
Provider details
- NPI number
- 1417634866
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- PS019921 (PA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
3550 Market St
Philadelphia, PA 19104-3329
Phone: (267) 624-3493
Street-level locationGet directions
Mailing address
2226 S Mildred St
Philadelphia, PA 19148-3110
Additional practice locations (1)
- 225 S Cobbs Creek PkwyPhiladelphia, PA 19139-3723Phone: (215) 476-2223
Registry dates
- Enumerated
- 2023-06-28
- Last updated
- 2023-06-28
- Certified
- 2023-06-28
Frequently asked questions
- What is Mckenzie Bourque's NPI number?
- Mckenzie Bourque's National Provider Identifier (NPI) is 1417634866, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mckenzie Bourque's specialty?
- Mckenzie Bourque is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Mckenzie Bourque located?
- Mckenzie Bourque's practice location on file with NPPES is 3550 Market St, Philadelphia, PA 19104-3329.
- What is Mckenzie Bourque's phone number?
- The practice phone number listed in the NPPES registry for Mckenzie Bourque is (267) 624-3493.
- Is Mckenzie Bourque's NPI active?
- Yes — Mckenzie Bourque's NPI (1417634866) is active in the NPPES registry as of the last update on 2023-06-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.