Jennifer J Bortz, PHD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

2060 Issued in AZ

Practice address

2929 E Camelback Rd
Ste 114
Phoenix, AZ 85016-4425

Phone

(480) 795-4787

Fax

(480) 795-7778

NPI assigned

Dec 27, 2005

Last updated

Dec 1, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jennifer J. Bortz PH.D., PLLC

  dba Arizona Integrative Neuropsychology

  • Clinical Neuropsychologist
  • Phoenix, AZ
  • NPI 1487299780
  NPD
• Neuropsychology Associates PC

  • Clinical Neuropsychologist
  • Prescott, AZ
  • NPI 1265764278
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575158400000",
    "number": "1306823810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34522 N SCOTTSDALE RD STE 120-227",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852661224",
            "telephone_number": "480-795-4787",
            "fax_number": "480-795-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 E CAMELBACK RD",
            "address_2": "STE 114",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164425",
            "telephone_number": "480-795-4787",
            "fax_number": "480-795-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORTZ",
        "first_name": "JENNIFER",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-27",
        "last_updated": "2019-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "AZ",
            "license": "2060",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "2060",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209016",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIWEST",
            "identifier": "86080015085259A620",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "680011757",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julio Gabriel Borrero, DC
• Joshua Adam Borsa
• Ricardo Borsatto, M.D.
• Matthew P Borst, M.D.
• Derek J Bortis
• Kimberly Borucki Lara, D.C
• Mason Borud
• Ashley Boruff
• Andrea Borum
• Michael Borum, ED.D.

• Clinical Neuropsychologist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinical Neuropsychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.