DR. CARRIE DOBBIN BOURGUIGNON PSYD NPI 1588800668

NPI Information

  • NPI: 1588800668
  • Provider Name: DR. CARRIE DOBBIN BOURGUIGNON, PSYD
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 908 E ST STE C
    SAN RAFAEL, CA
    ZIP 94901
  • Phone: (415) 779-8329

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NPI Details

DR. Carrie Dobbin Bourguignon, PSYD is a clinical psychologist in San Rafael, CA with 13 years of experience. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. DR. Carrie Dobbin Bourguignon, PSYD NPI is 1588800668. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

908 E ST STE C
SAN RAFAEL, CA
ZIP 94901-851
Phone: (415) 779-8329

The NPI 1588800668 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 12/19/2008 and was last updated on 11/13/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthNo
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
3103TC0700XPsychologistClinical28829CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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