DAVID M. BORTNICK PHD. PSYD. PA NPI 1225333123

NPI Information

  • NPI: 1225333123
  • Provider Name: DAVID M. BORTNICK, PHD. PSYD. PA
  • Classification: Clinical Neuropsychologist - 103G00000X
  • Entity Type: Organization
  • Address: 1130 SE 18TH PLACE
    OCALA, FL
    ZIP 34471
  • Phone: (352) 390-6656

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NPI Details

DAVID M. BORTNICK, PHD. PSYD. PA is a clinical neuropsychologist in Ocala, FL. The provider is 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. DAVID M. BORTNICK, PHD. PSYD. PA NPI is 1225333123. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1130 SE 18TH PLACE
OCALA, FL
ZIP 34471-422
Phone: (352) 390-6656
Fax: (352) 390-8756

The provider's authorized official is David M. Bortnick .
The authorized official title is Ceo and has the following contact phone number (352) 390-6656.

The enumeration date for this NPI number is 1/24/2011 and was last updated on 3/15/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103G00000XClinical NeuropsychologistFLPY2065FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1EQ188AMEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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