KERRY CATHERINE BORDIERI – Clinical Psychologist, NPI 1073035291

KERRY CATHERINE BORDIERI is a healthcare provider. based in Hopkinsville, Kentucky. specializing in CLINICAL PSYCHOLOGIST. They hold a License No. 173034 (KY). The NPI Number for KERRY CATHERINE BORDIERI is 1073035291

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
KERRY CATHERINE BORDIERI
NPI
1073035291
Phone
(270) 886-2205
Address
PO BOX 614
Enumeration Date
10 July 2017
Last Update Date
13 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2708865163
Graduation Year
2015 (11 years ago)
PAC ID
9032489844
Group Practice PAC ID
8820902638
Professional Enrollment ID
I20170726002239
Address ID
KY422402620HO735XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

253 CLINICAL PSYCHOLOGIST in KY

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Provider Addresses for KERRY CATHERINE BORDIERI

  • PO BOX 614

    HOPKINSVILLE, KY 422410614

    Phone: (270) 886-2205

    Type: Mailing

  • 735, North Drive, Hopkinsville, Christian County, Kentucky, 42240, United States

    HOPKINSVILLE, KY 422402620

    Phone: (270) 886-5163

    Fax: (270) 886-5178

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-07-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170726002239IClinical PsychologistKYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 42241)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8820902638View full group profile
NameSpecialtyState
Clinical Social WorkerKY
Clinical Social WorkerKY
-KY
Nurse PractitionerKY
-KY
Clinical Social WorkerKY
Nurse PractitionerKY
-KY
Clinical Social WorkerKY
Certified Clinical Nurse Specialist (Cns)KY

Reviews

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Frequently asked questions

How do I look up KERRY CATHERINE BORDIERI by NPI?
Use NPI 1073035291 when you need to reference KERRY CATHERINE BORDIERI in forms, claims, or directories.
Does this profile mean KERRY CATHERINE BORDIERI is currently active?
Yes — KERRY CATHERINE BORDIERI appears active in the national provider directory.
Can you summarize KERRY CATHERINE BORDIERI's specialty in plain language?
Clinically, the directory lists KERRY CATHERINE BORDIERI with Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What location metadata exists for KERRY CATHERINE BORDIERI?
The page summarizes Hopkinsville, Kentucky for KERRY CATHERINE BORDIERI; expand the address list for detail.
Is KERRY CATHERINE BORDIERI a real provider?
This page reflects official NPPES data for NPI 1073035291. Always confirm identity and privileges with the practice and licensing boards.

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