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

Kassidy Sandy-Bourne

Individual provider Social Worker · NPI 1861977449

Kassidy Sandy-Bourne is a Marriage and Family Therapist in Melville, New York. Qualified in 2020, 6 years ago. Practices with Che Senior Psychological Services, PC, a 224-clinician group and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

225 Broadhollow Rd Ste 402
Melville, NY 11747-4899
Phone: (631) 385-7780
Fax: (613) 385-7795
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X
Social Worker Taxonomy 104100000X

Record details

NPI number1861977449
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 28, 2018
Last updated in NPPESJuly 9, 2021
Certification dateJuly 9, 2021
Mailing address225 Broadhollow Rd Ste 205, Melville, NY 11747-4822

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Che Senior Psychological Services, Pc — 224 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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