LESLIE S BOURNE (PHD) – Psychologist, NPI 1295713113

LESLIE S BOURNE (PHD) is a healthcare provider. based in Worcester, Massachusetts. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 4993 (MA). The NPI Number for LESLIE S BOURNE (PHD) is 1295713113

Main info

Female
38 Years Of Experience
Accepts Medicare Assignment
Name
LESLIE S BOURNE (PHD)
NPI
1295713113
Phone
(508) 856-0732
Address
5 NEPONSET ST FL ST12
Enumeration Date
3 January 2006
Last Update Date
26 September 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5085952300
Graduation Year
1988 (38 years ago)
PAC ID
3577608033
Group Practice PAC ID
5597755322
Professional Enrollment ID
I20100308000948
Address ID
MA016062714WO5XXXXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,694 CLINICAL PSYCHOLOGIST in MA

Provider Addresses for LESLIE S BOURNE (PHD)

  • 5 NEPONSET ST FL ST12

    WORCESTER, MA 016062714

    Phone: (508) 856-0732

    Fax: (508) 425-5126

    Type: Mailing

  • 5 NEPONSET ST FL STREET12

    WORCESTER, MA 016062714

    Phone: (508) 856-0732

    Fax: (508) 425-5126

    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: 2010-03-08

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
I20100308000948IClinical PsychologistMATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90853Group psychotherapy7613$0
90832Psychotherapy, 30 minutes6719$0
90834Psychotherapy, 45 minutes6021$0
90791Psychiatric diagnostic evaluation2929$0
View full utilization report →

Insurance plans in this area (ZIP 01606)

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Provider's Procedures

LESLIE S BOURNE (PHD) performs procedures in CLINICAL PSYCHOLOGIST. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHOLOGIST, CLINICALMA90853Group psychotherapy18137

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: 5597755322View full group profile
NameSpecialtyState
D E R M A T O L O G YMA
Internal MedicineMA
-MA
-MA
Emergency MedicineMA
Physical Therapist In Private PracticeMA
Physician AssistantMA
Family PracticeMA
Clinical PsychologistMA
-MA

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Frequently asked questions

How do I look up LESLIE S BOURNE (PHD) by NPI?
Use NPI 1295713113 when you need to reference LESLIE S BOURNE (PHD) in forms, claims, or directories.
Is LESLIE S BOURNE (PHD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does LESLIE S BOURNE (PHD) work in?
You can think of LESLIE S BOURNE (PHD) as practicing within Psychologist. Clinical services aligned with this taxonomy classification.
Where is LESLIE S BOURNE (PHD)'s primary listing?
We display Worcester, Massachusetts because that is what the record indicates for LESLIE S BOURNE (PHD).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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