LESLIE S BOURNE


Address: 5 Neponset St Fl Street12, Worcester, MA 01606-2714
Phone: 5088560732

LESLIE S BOURNE (NPI# 1295713113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295713113
Entity Type Individual
Full Name LESLIE S BOURNE
Credential PHD
Practice Address 5 Neponset St Fl Street12
Worcester
MA 01606-2714
Mailing Address 5 Neponset St Fl St12
Worcester
MA 01606-2714
Practice Telephone 5088560732
Practice Fax Number 5084255126
Mailing Telephone 5088560732
Mailing Fax Number 5084255126
Enumeration Date 2006-01-03
Last Update Date 2018-09-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 4993 MA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
THREE RIVERS 042472266 01
MVP HEALTH CARE 787395 01
BLUE SHIELD HMO BLUE W05547 01
ONE HEALTH PLAN 042472266 01
PACIFICARE 042472266 01
FALLON COMMUNITY HEALTH P 990038 01
BLUE SHIELD INDEMNITY W05547 01
FIRST HEALTH 2044402 01
CHILDRENS MEDICAL SECURIT 86903 01
BLUE CARE ELECT W05547 01
CIGNA HEALTH PLAN 1033725 01
MEDICARE B W50128 01
HEALTHCARE VALUE MANAGEME 042472266 01
PRIVATE HEALTHCARE SYSTEM 042472266 01
AETNA US HEALTHCARE 3690555 01

Office Location

Street Address 5 NEPONSET ST FL STREET12
City WORCESTER
State MA
Zip Code 01606-2714

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235521543 Megan Lynch Robidoux Physician Assistant 5 Neponset St Fl Street12, Worcester, MA 01606-2714 2015-02-24
1528390804 Amanjot Kaur Sidhu Internal Medicine 5 Neponset St Fl Street12, Worcester, MA 01606-2714 2010-02-11
1073550679 Lloyd D Fisher Pediatrics 5 Neponset St Fl Street12, Worcester, MA 01606-2714 2006-06-01
1811965130 Michael H Kelleher Internal Medicine 5 Neponset St Fl Street12, Worcester, MA 01606-2714 2006-03-11
1477524353 Cathleen K Case Nurse Practitioner 5 Neponset St Fl Street12, Worcester, MA 01606-2714 2006-01-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548742612 Aishea Irine Henry Counselor 29 E. Mountian St., Worccester, MA 01606 2018-09-05
1932689874 Donna Kesler Pearce Social Worker Department of Children and Families, 151 West Boylston Drive, Worcester, MA 01606 2018-08-20
1689169914 Ashley Kalel Social Worker 151 W Boylston Dr, Worcester, MA 01606 2018-06-28
1588189039 Michael Joseph Peters Sr. Counselor 56 Malden St, Worcester, MA 01606 2017-08-06
1811418528 Shan Rai Social Worker 29 East Mountain Street, Worcester, MA 01606 2017-07-03
1639608045 Kim Marie Ceccarini Case Manager/Care Coordinator 11 Delaval Rd, Worcester, MA 01606 2017-06-08
1669806139 Lauren Giuliano Counselor 392 Burncoat St, Worcester, MA 01606 2013-09-02
1508132911 Joshua D Zierler-broudo Social Worker 29 East Mountain St, Worcester, MA 01606 2012-03-29
1609096098 Alternatives Unlimited Inc Day Training, Developmentally Disabled Services 367 Burncoat Street, Worcester, MA 01606 2007-04-26
1407908213 Class One Orthodontic Asso LLC Dentist 365 Burncoat St, Worcester, MA 01606 2007-01-18
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386126704 Sarah J Macdonald Psychologist 27 Sever St, Worcester, MA 01609 2018-09-01
1780902767 Richard Thomas Lanza Psychologist 686 Elmore Rd, Worcester, VT 05682-9640 2010-05-14
1780890020 Wendy Huang Psychologist One College Street, Worcester, MA 01610-2395 2007-05-15
1407909484 Martin John Mcglynn Psychologist 20 Indian Lake Pkwy, Worcester, MA 01605-1216 2007-01-21
1306903125 Sheila Hunt Rosenblatt Psychologist 14 Hunthurst Cir, Worcester, MA 01602-2831 2007-01-02
1760576276 Norma Lorraine Medway Psychologist 130 Elm St Ste 100, Worcester, MA 01609 2006-10-02
1740399666 Neil Ryan Castronovo Psychologist 19 Marwood Rd, Worcester, MA 01602-1716 2006-08-30
1508972845 Craig B Wiener Psychologist 48 Cedar St., Worcester, MA 00109-0010 2006-08-21
1992709448 Brian Wayne Litzenberger Psychologist 9 Cedar St, Worcester, MA 01609-2505 2005-06-10
1457972432 Amanda Silveira Psychologist 225 Main St, Worcester, MA 01608-1203 2020-05-01
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Competitor

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City WORCESTER
Zip Code 01606

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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