Jessica Bordenave, PSYD, LP
NPI 1023500113ActiveIndividual· Psychologist, Clinical· Bloomington, MN
Psychologist, Clinical (PSYD, LP) with Main Line Healthcare, practicing in Bloomington, Minnesota. Medicare paid $21,386 for services to 55 patients in 2024.
Overview
| NPI | 1023500113 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSYD, LP |
| Sole proprietor | No |
| NPI issued | Jun 4, 2018 |
| Last updated in NPPES | Nov 12, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 6325 | MN |
| Clinical Neuropsychologist | 103G00000X | 3557-57 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 55 |
|---|---|
| Services billed | 402 across 5 procedure codes |
| Paid by Medicare | $21,386 |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Main Line HealthcareWynewood, PA · 1,184 clinicians
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