KIRSTY E BORTNIK PH.D.
NPI 1376748780
Clinical Neuropsychologist in Santa Monica, CA

NPI Status: Active since June 15, 2007

Contact Information

1301 20TH ST STE 150
SANTA MONICA, CA
ZIP 90404
Phone: (310) 458-2764

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  • Individual
  • Female
  • Clinical Neuropsychologist
  • PECOS Enrolled

About KIRSTY BORTNIK

This page provides the complete NPI Profile along with additional information for Kirsty Bortnik, a provider established in Santa Monica, California with a medical specialization in Clinical Neuropsychologist. The healthcare provider is registered in the NPI registry with number 1376748780 assigned on June 2007. The practitioner's primary taxonomy code is 103G00000X with license number 32126 (CA). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1376748780
Provider Name
KIRSTY E BORTNIK PH.D.
Gender
Female
Entity Type
Individual
Location Address
1301 20TH ST STE 150 SANTA MONICA, CA 90404
Location Phone
(310) 458-2764
Mailing Address
PO BOX 1493 SIERRA MADRE, CA 91025
Mailing Phone
(212) 305-3247
Is Sole Proprietor?
No
Enumeration Date
06-15-2007
Last Update Date
01-09-2024
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Location Map

Secondary Locations

  • 710 W 168th St
    New York, NY 10032
    (212) 305-3247

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinical Neuropsychologist

Taxonomy Code
103G00000X
Type
Behavioral Health & Social Service Providers
License No.
32126
License State
CA
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103TC0700XBehavioral Health & Social Service Providers

Psychologist
Clinical

32126 (CA)
2103TC0700XBehavioral Health & Social Service Providers

Psychologist
Clinical

019916 (NY)

Medicare Participation & PECOS Enrollment Status

Kirsty Bortnik is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Administration of psychological or neuropsychological test by technician, each additional 30 minutes

This service involves a technician administering additional psychological or neuropsychological testing. Each session lasts for an extra 30 minutes. These tests assess cognitive abilities, such as memory, attention, and problem-solving skills, to aid in diagnosing or monitoring mental health conditions.

This service was performed 217 times for 31 patients

Administration of psychological or neuropsychological test by technician, first 30 minutes

This procedure involves a trained technician administering a psychological or neuropsychological test. It's a process that assesses your mental function and behavior. The initial session will last 30 minutes. The aim is to understand your cognitive abilities better.

This service was performed 32 times for 31 patients

Evaluation of neuropsychological test, each additional hour

This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.

This service was performed 160 times for 31 patients

Evaluation of neuropsychological test, first hour

An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.

This service was performed 32 times for 31 patients

Exam of neurobehavioral status, first hour

An exam of neurobehavioral status is a medical procedure that evaluates your brain's functions. This includes assessing your cognitive abilities, emotional responses, and behavioral patterns. The first hour of the exam is typically dedicated to this initial evaluation.

This service was performed 32 times for 31 patients

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1376748780, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
6
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
4
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
7
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 7 → 14 → 5 8 → 16 → 7 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 4 + 6 + 1 + 4 + 4 + 1 + 6 + 7 + 1 + 6 + 24 = 70

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 70 is 70. The difference is the calculated check digit.

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1376748780.

Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Social Worker (Clinical)
1301 20TH ST STE 150
SANTA MONICA, CA 90404
Nurse Practitioner
1301 20TH ST STE 150
SANTA MONICA, CA 90404
Psychiatry & Neurology (Neurology)
1301 20TH ST STE 150
SANTA MONICA, CA 90404
Psychiatry & Neurology (Neurology)
1301 20TH ST STE 150
SANTA MONICA, CA 90404
Family Medicine (Geriatric Medicine)
1301 20TH ST STE 150
SANTA MONICA, CA 90404
Nurse Practitioner
1301 20TH ST STE 150
SANTA MONICA, CA 90404
Psychiatry & Neurology (Clinical Neurophysiology)
1301 20TH ST STE 150
SANTA MONICA, CA 90404
Physical Therapist
1301 20TH ST STE 150
SANTA MONICA, CA 90404
Nurse Practitioner
1301 20TH ST STE 150
SANTA MONICA, CA 90404
Clinical Neuropsychologist
1301 20TH ST STE 150
SANTA MONICA, CA 90404

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376748780, enumerated as an "individual" on June 15, 2007.

The provider is located at 1301 20TH ST STE 150 SANTA MONICA, CA 90404 and the phone number is (310) 458-2764.

Clinical Neuropsychologist with taxonomy code 103G00000X.