Provider Type Icon

DR. JENNIFER J BORTZ PHD NPI 1306823810


NPI Information

NPI: 1306823810
Provider Name: DR. JENNIFER J BORTZ, PHD
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
2929 E CAMELBACK RD
STE 114
PHOENIX, AZ
ZIP 85016
Phone: (480) 795-4787
Get Directions

DR. Jennifer J Bortz, PHD is a clinical neuropsychologist in Phoenix, AZ. 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. DR. Jennifer J Bortz, PHD NPI is 1306823810. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2929 E CAMELBACK RD
STE 114
PHOENIX, AZ
ZIP 85016-425
Phone: (480) 795-4787
Fax: (480) 795-7778

The NPI 1306823810 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 12/27/2005 and was last updated on 12/1/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinical2060ARIZONANo
2103G00000XClinical Neuropsychologist2060ARIZONAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1209016MEDICAIDARIZONA
2680011757OTHERARIZONARAILROAD MEDICARE
386080015085259A620OTHERARIZONATRIWEST

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.