IndividualActive
Dennis Bourdo, PSYD
NPI 1861549792 · Clinical Psychologist · Mishawaka, IN
Dennis Bourdo, PSYD is a Clinical Psychologist provider in Mishawaka, IN (NPI 1861549792).
Provider details
- NPI number
- 1861549792
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSYD
- Sex
- Male
- Sole proprietor
- No
- License
- 6301013489 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(94/100 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
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
1540 Trinity Pl
Mishawaka, IN 46545-5006
Phone: (574) 272-9000
Fax: (574) 272-9299
Street-level locationGet directions
Mailing address
1540 Trinity Pl
Mishawaka, IN 46545-5006
Additional practice locations (1)
- 243 Curtiss Rd Ste 100Barksdale Afb, LA 71110-2425Phone: (318) 456-6555
Registry dates
- Enumerated
- 2007-01-04
- Last updated
- 2025-09-12
- Certified
- 2025-09-12
Frequently asked questions
- What is Dennis Bourdo's NPI number?
- Dennis Bourdo's National Provider Identifier (NPI) is 1861549792, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dennis Bourdo's specialty?
- Dennis Bourdo is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Dennis Bourdo located?
- Dennis Bourdo's practice location on file with NPPES is 1540 Trinity Pl, Mishawaka, IN 46545-5006.
- What is Dennis Bourdo's phone number?
- The practice phone number listed in the NPPES registry for Dennis Bourdo is (574) 272-9000.
- Is Dennis Bourdo's NPI active?
- Yes — Dennis Bourdo's NPI (1861549792) is active in the NPPES registry as of the last update on 2025-09-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.