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Active NPI 1356308530 Individual Practitioner Male Practitioner

Dr. David M Bortnick , PHD PSYD ABN

Clinical Neuropsychologist • St Augustine, FL

Professional Overview & Biography Verified Profile Summary

Dr. David Bortnick, PHD PSYD ABN is a registered healthcare professional specializing in Clinical Neuropsychologist in St Augustine, FL. Practice services are available at 1750 TREE BLVD STE 5 under active NPI credentials.

Frequently performed procedures and clinical services include evaluation of psychological test, first hour, evaluation of psychological test, evaluation of neuropsychological test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1750 Tree Blvd Ste 5

St Augustine, FL 320845719

Telephone 9043420672
Fax 9043420673
Associated Practice Facility / Clinic
🏢 David M Bortnick Phd Psy D Pa Facility NPI 1225560949

Specialty Benchmarks & Practice Insights

Comparative analytics for Clinical Neuropsychologist in St Augustine, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.5 Yrs
Regional Practice Density
2 Specialists

Practicing in St Augustine, FL (385 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
59.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
96130 Evaluation of psychological test, first hour
32 32 $300.00 $121.17
96131 Evaluation of psychological test, each additional hour
24 22 $250.00 $93.30
96133 Evaluation of neuropsychological test, each additional hour
19 18 $250.00 $101.39
96132 Evaluation of neuropsychological test, first hour
19 19 $350.00 $134.70
96116 Exam of neurobehavioral status, first hour
18 18 $250.00 $98.86
90791 Psychiatric diagnostic evaluation
14 14 $330.00 $144.39

Medical Specialties & State Licenses

CMS Verified: 2020-01-06
Clinical Neuropsychologist Primary Specialty

NUCC Taxonomy Code: 103G00000X

State License FL PY2065

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Eneida Gomez , MD

Psychiatry & Neurology - Psychiatry

NPI 1366431835

Doctor of Medicine (M.D.)

Angelia Fuller , ARNP

Nurse Practitioner - Family

NPI 1366866204

Advanced Registered Nurse Practitioner

Angela Fitts , LCSW

Social Worker - Clinical

NPI 1508151846

Licensed Clinical Social Worker

Nicole Trevor , APRN, PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1780484196

Advanced Practice Registered Nurse, Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location January 06, 2020

Registered at 1750 TREE BLVD STE 5, ST AUGUSTINE, FL 320845719 (Tel: 9043420672)

👤
Provider Name / Credentials Updated January 06, 2020

Recorded as DAVID BORTNICK, PHD PSYD ABN

📍
Updated Practice Location July 24, 2019

Registered at 100 E TOWN PL UNIT 209, ST AUGUSTINE, FL 320920664 (Tel: 9044842145)

📍
Updated Business Mailing Address July 24, 2019

Registered at PO BOX 3123, ST AUGUSTINE, FL 320853123

NPI Profile Active October 25, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location October 25, 2012

Registered at 1130 SE 18TH PLACE, OCALA, FL 344715422 (Tel: 3523906656)

📍
Updated Business Mailing Address October 25, 2012

Registered at 1130 SE 18TH PLACE, OCALA, FL 344715422 (Tel: 3523906656)

👤
Provider Name / Credentials Updated October 25, 2012

Recorded as DAVID BORTNICK, PHD, PSYD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 25, 2012

Clinical Neuropsychologist (License #PY2065 in FL)

🟢
Initial NPI Registration & Enumeration April 30, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1356308530
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 30, 2006
Last Update: January 06, 2020
Sole Proprietor: No

Mailing Address

Po Box 3123

St Augustine, FL 320853123

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.