Diane Bourke, M.D.
Diane Bourke, M.D. is a Developmental - Behavioral Pediatrics Physician in Latham, NY, registered under NPI 1124082375. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 7B JOHNSON RD, Latham, NY 12110. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 173530 | NY | Developmental - Behavioral Pediatrics… primary |
| 173530 | NY | Specialist |
This provider holds licence 173530 issued in NY. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Developmental - Behavioral Pediatrics covers
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. NUCC Health Care Provider Taxonomy, code 2080P0006X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2080P0006X | Developmental - Behavioral Pediatrics Physician Developmental - Behavioral Pediatrics | 173530 | NY | primary |
| 174400000X | Specialist | 173530 | NY |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1124082375 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Apr 14, 2006 |
| Last updated | Jan 18, 2018 |
| Status | Active |
| Sole proprietor | No |
| Credential | M.D. |
| Practice address |
7B JOHNSON RD Latham, NY 12110 (518) 782-7733 Fax (518) 782-0800 |
| Mailing address |
711 TROY SCHENECTADY RD STE 203 Latham, NY 12110 |
| Other identifiers |
042ZE1
· EMPIRE BLUECROSS (NY) 143257 · GHI/HMO (NY) 5780670 · AETNA (NY) 9042526 · MVP HELATHCARE (NY) 01820997 (NY) 091231000203 · FIDELIS (NY) PRC110027743 · CDPHP (NY) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 2 | 4 | 0 | 8 | 2 | 3 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 4 | 4 | 0 | 8 | 4 | 3 | 5 |
Sum = 55 · next multiple of 10 = 60 · check digit = 5 · actual last digit = 5
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.