Kirsty E. Bortnik, PH.D.
NPI 1376748780ActiveIndividual· Clinical Neuropsychologist· Santa Monica, CA
Clinical Neuropsychologist (PH.D.) in Santa Monica, California, licensed in CA and NY, with an NPI issued in June 2007. Medicare paid $21,648 for services to 26 patients in 2024.
Overview
| NPI | 1376748780 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | No |
| NPI issued | Jun 15, 2007 |
| Last updated in NPPES | Jan 9, 2024 |
| Certified by provider | Jan 9, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinical Neuropsychologist Primary | 103G00000X | 32126 | CA |
| Psychologist, Clinical | 103TC0700X | 32126 | CA |
| Psychologist, Clinical | 103TC0700X | 019916 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 26 |
|---|---|
| Services billed | 375 across 6 procedure codes |
| Paid by Medicare | $21,648 |
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