DR. SHAUNE KELLY BORNHOLDT PH.D.
NPI 1063673226
Psychologist in Bronx, NY

Active since June 20, 2008
1165 MORRIS PARK AVE, BRONX, NY 10461(718) 430-3900 Get Directions Write a Review

NPPES record last updated: June 20, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Shaune Kelly Bornholdt Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHAUNE KELLY BORNHOLDT PH.D. (NPI 1063673226) is an individual psychologist in Bronx, New York, licensed in New York (014867) and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1063673226
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. SHAUNE KELLY BORNHOLDTCredential: PH.D.
Location Address1165 MORRIS PARK AVEBronx, NY 10461-1915
Mailing Address501 W 121st St, Apt 52New York, NY 10027-5903 · (212) 662-0137
Sole ProprietorNo
Enumeration DateJune 20, 2008
NPI 1063673226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NY · 014867
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1165 MORRIS PARK AVE, Bronx, NY 10461

Other Names 1

Other Name (5)Katherine S Bornholdt

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
1165 MORRIS PARK AVE, ROUSSO-119
BRONX, NY 10461
Physician Assistant (Surgical)
1165 MORRIS PARK AVE
BRONX, NY 10461
Speech-Language Pathologist
1165 MORRIS PARK AVE
BRONX, NY 10461
Speech-Language Pathologist
1165 MORRIS PARK AVE
BRONX, NY 10461
Rehabilitation Unit
1165 MORRIS PARK AVE, 4TH FLOOR
BRONX, NY 10461
Occupational Therapist (Pediatrics)
1165 MORRIS PARK AVE
BRONX, NY 10461
Speech-Language Pathologist
1165 MORRIS PARK AVE, ROUSSO ANNEX
BRONX, NY 10461
Speech-Language Pathologist
1165 MORRIS PARK AVE, ROUSSO BUILDING, ROOM 217
BRONX, NY 10461

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shaune Bornholdt's NPI number?

The NPI number for Shaune Bornholdt is 1063673226. It was assigned to this individual provider in the NPPES registry on June 20, 2008. The provider is also known as Katherine S Bornholdt.

Where is Shaune Bornholdt located?

Shaune Bornholdt practices at 1165 Morris Park Ave, Bronx, NY 10461. The listed phone number is (718) 430-3900.

What is Shaune Bornholdt's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Shaune Bornholdt was last updated on June 20, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.