Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. David John Botkin, PHD

Individual provider Clinical Psychologist · NPI 1487692620

Dr. David John Botkin, PHD is a Clinical Psychologist in South Bend, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

227 N Dixie Way Ste 240
South Bend, IN 46637-3300
Phone: (574) 288-1333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 20040017 (IN)

Record details

NPI number1487692620
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedJune 2, 2006
Last updated in NPPESJanuary 10, 2018
Mailing address227 N Dixie Way Ste 240, South Bend, IN 46637-3300

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