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

Q: What is Kirsty Bortnik's NPI number?

The NPI number for Kirsty Bortnik is 1376748780. It was assigned to this individual provider in the NPPES registry on June 15, 2007.

Q: What is Kirsty Bortnik's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kirsty Bortnik was last updated on January 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 15, 2007PECOS Enrolled

1301 20TH ST STE 150, SANTA MONICA, CA 90404(310) 458-2764 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 9, 2023, Jul 1, 2021, Oct 30, 2020 (3 updates tracked since 2020).

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About Kirsty E Bortnik Ph.d. NPPES

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

KIRSTY E BORTNIK PH.D. (NPI 1376748780) is an individual clinical neuropsychologist in Santa Monica, California, licensed in California (32126) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1376748780

Entity TypeIndividualFemale

Primary Taxonomy103G00000X

Provider Legal NameKIRSTY E BORTNIKCredential: PH.D.

Location Address1301 20TH ST STE 150Santa Monica, CA 90404-2050

Mailing AddressPo Box 1493Sierra Madre, CA 91025-4493 · (212) 305-3247

Phone(310) 458-2764

Sole ProprietorNo

Enumeration DateJune 15, 2007

Last NPPES UpdateJanuary 9, 20243 updates tracked since enumeration

NPPES CertifiedJanuary 9, 2024

✔ NPI 1376748780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in CA · 32126

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.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 32126 (CA), 019916 (NY)

1301 20TH ST STE 150, Santa Monica, CA 90404

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Secondary Practice Location 1

Location 1710 W 168th StNew York, NY 10032-3726 · Phone (212) 305-3247

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kirsty E Bortnik Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of psychological or neuropsychological test by technician, each additional 30 minutes 96139

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.

166 services25 patients

Evaluation of neuropsychological test, each additional hour 96133

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.

131 services26 patients

Evaluation of neuropsychological test, first hour 96132

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.

26 services26 patients

Administration of psychological or neuropsychological test by technician, first 30 minutes 96138

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.

25 services25 patients

Exam of neurobehavioral status, first hour 96116

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.

24 services24 patients

Other Providers at the Same Location NPPES 10

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

CLAUDIA L WONG NP

Nurse Practitioner