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DR. DAVID M BORTNICK PHD PSYD ABN
NPI 1356308530
Clinical Neuropsychologist in St Augustine, FL

Active since April 30, 2006
1750 TREE BLVD STE 5, ST AUGUSTINE, FL 32084(904) 342-0672(904) 342-0673 Get Directions Write a Review

NPPES record last updated: January 6, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 6, 2020, Jul 24, 2019 (2 updates tracked since 2019).

About Dr. David M Bortnick Phd Psyd Abn NPPES

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

DR. DAVID M BORTNICK PHD PSYD ABN (NPI 1356308530) is an individual clinical neuropsychologist in St Augustine, Florida, licensed in Florida (PY2065) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1356308530
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameDR. DAVID M BORTNICKCredential: PHD PSYD ABN
Location Address1750 TREE BLVD STE 5St Augustine, FL 32084-5719
Mailing AddressPo Box 3123St Augustine, FL 32085-3123
Phone(904) 342-0672
Fax(904) 342-0673
Sole ProprietorNo
Enumeration DateApril 30, 2006
Last NPPES UpdateJanuary 6, 20202 updates tracked since enumeration
✔ NPI 1356308530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in FL · PY2065
Definition
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.
1750 TREE BLVD STE 5, St Augustine, FL 32084
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Other Providers at the Same Location NPPES 2

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

DAVID M BORTNICK PHD PSY D PA
Clinical Neuropsychologist
1750 TREE BLVD STE 5
ST AUGUSTINE, FL 32084
St. Johns County (904) 342-0672
ANGELIA FULLER ARNP
Nurse Practitioner (Family)
1750 TREE BLVD STE 5
ST AUGUSTINE, FL 32084
St. Johns County (904) 342-0672

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 David Bortnick's NPI number?

The NPI number for David Bortnick is 1356308530. It was assigned to this individual provider in the NPPES registry on April 30, 2006.

Where is David Bortnick located?

David Bortnick practices at 1750 Tree Blvd Ste 5, St Augustine, FL 32084. The listed phone number is (904) 342-0672.

What is David Bortnick's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for David Bortnick was last updated on January 6, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.