DR. HEATHER L. BORNFELD PH.D.
NPI 1477597771
Clinical Neuropsychologist in San Francisco, CA

Q: What is Heather Bornfeld's NPI number?

The NPI number for Heather Bornfeld is 1477597771. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Q: What is Heather Bornfeld's specialty?

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

Q: Is Heather Bornfeld enrolled in Medicare?

No. Heather Bornfeld has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Heather Bornfeld was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 16, 2006Opted out of Medicare · through Jul 1, 2027

401 PARNASSUS AVE, SAN FRANCISCO, CA 94143(415) 476-7762(415) 502-6364 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Heather L. Bornfeld Ph.d. NPPES

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

DR. HEATHER L. BORNFELD PH.D. (NPI 1477597771) is an individual clinical neuropsychologist in San Francisco, California, licensed in California (PSY19494) and active in the NPI registry since June 2006. She has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1477597771

Entity TypeIndividualFemale

Primary Taxonomy103G00000X

Provider Legal NameDR. HEATHER L. BORNFELDCredential: PH.D.

Location Address401 PARNASSUS AVESan Francisco, CA 94143-2211

Mailing Address1529 20th StSan Francisco, CA 94107-2808 · (415) 244-7684 · Fax (415) 502-2324

Phone(415) 476-7762

Fax(415) 502-6364

Sole ProprietorYes

Enumeration DateJune 16, 2006

Last NPPES UpdateJuly 9, 2007

✔ NPI 1477597771 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 CA · PSY19494

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.

401 PARNASSUS AVE, San Francisco, CA 94143

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Other Identifiers 2

Medicare PIN00PSY194940CA

Medicaid00PSY194940CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Heather L. Bornfeld Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2019 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2019

Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

CANDY HO KATOA PSY.D.

Psychologist (Clinical)

401 PARNASSUS AVE, LP 488
SAN FRANCISCO, CA 94143

San Francisco County (415) 476-7133

CATHLEEN M CHRISTENSEN MSW

Social Worker (Clinical)