DAVID M BORTNICK PHD PSY D PA – Clinical Neuropsychologist, NPI 1225560949

DAVID M BORTNICK PHD PSY D PA is a healthcare provider. based in St augustine, Florida. specializing in Clinical Neuropsychologist. The organization holds a License No. PY2065 (FL). The NPI Number for DAVID M BORTNICK PHD PSY D PA is 1225560949

Main info

Organization
Name
DAVID M BORTNICK PHD PSY D PA
NPI
1225560949
Phone
Not provided
Address
PO BOX 3123
Authorized Official
DR. DAVID M BORTNICK OWNER PRESIDENT PHD PSYD ABN
Enumeration Date
31 March 2017
Last Update Date
6 January 2020
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

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Provider Addresses for DAVID M BORTNICK PHD PSY D PA

  • PO BOX 3123

    ST AUGUSTINE, FL 320853123

    Phone:

    Type: Mailing

  • Tree Boulevard, St. Augustine, St. Johns County, Florida, 32084, United States

    ST AUGUSTINE, FL 320845719

    Phone: (904) 342-0672

    Fax: (904) 342-0673

    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.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32085)

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Frequently asked questions

What is the 10-digit NPI for DAVID M BORTNICK PHD PSY D PA?
DAVID M BORTNICK PHD PSY D PA — NPI 1225560949 — is the standard way to identify this listing.
Is DAVID M BORTNICK PHD PSY D PA listed as active for patients and plans?
The listing shows DAVID M BORTNICK PHD PSY D PA as active in the NPI system.
What is DAVID M BORTNICK PHD PSY D PA's specialty?
The listing groups DAVID M BORTNICK PHD PSY D PA with Clinical Neuropsychologist. Clinical services aligned with this taxonomy classification.
What address line appears for DAVID M BORTNICK PHD PSY D PA?
DAVID M BORTNICK PHD PSY D PA's geographic hint is St Augustine, Florida in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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