Healthcare Provider Details

I. General information

NPI: 1568567261
Provider Name (Legal Business Name): JAMES K. O'ROURKE PSY.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2006
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

88 FARNHAM ST
BELMONT MA
02478-3178
US

IV. Provider business mailing address

88 FARNHAM ST
BELMONT MA
02478-3178
US

V. Phone/Fax

Practice location:
  • Phone: 617-491-1661
  • Fax:
Mailing address:
  • Phone: 617-491-1661
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number8128
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: