NPIMap

Organization Active NPI

Ernest J Bordini PHD & Assoc PA

Doing business as Clinical Psychology Assoc of North Central Florida PA

  • Psychologist
  • Gainesville, FL
National Provider Identifier
1508846254
Registry record updated Aug 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
ERNEST J BORDINI PHD & ASSOC PA
Doing business as
Clinical Psychology Assoc of North Central Florida PA
Practice address
2121 NW 40TH Ter
Ste B
Gainesville, FL 32605-3570
Phone
(352) 336-2888
Fax
(352) 371-1730
NPI assigned
Jan 19, 2006
Last updated
Aug 31, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2010

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

Authorized official

Name
Ernest J Bordini, PHDNPI 1972583623
Title
Owner-President
Phone
(352) 336-2888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU Primary

Addresses

Primary practice location

2121 NW 40TH Ter
Ste B
Gainesville, FL 32605-3570

Mailing address

2121 NW 40TH Ter
Ste B
Gainesville, FL 32605-3570
Phone (352) 336-2888

Other identifiers 1

IdentifierTypeStateIssuer
40173OtherFLBCBS

Other names 1

  • Clinical Psychology Assoc of North Central Florida PA Doing business as

National Provider Directory

National Provider Directory

Locations

2121 NW 40th Ter
Gainesville, FL 32605
Phone (352) 336-2888

2121 NW 40th Ter
Ste B
Gainesville, FL 32605
Phone (352) 336-2888

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283212800000",
    "number": "1508846254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 NW 40TH TER",
            "address_2": "STE B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326053570",
            "telephone_number": "352-336-2888",
            "fax_number": "352-371-1730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 NW 40TH TER",
            "address_2": "STE B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326053570",
            "telephone_number": "352-336-2888",
            "fax_number": "352-371-1730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERNEST J BORDINI PHD & ASSOC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-19",
        "last_updated": "2010-08-31",
        "status": "A",
        "authorized_official_last_name": "BORDINI",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER-PRESIDENT",
        "authorized_official_telephone_number": "352-336-2888",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "40173",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinical Psychology Assoc of North Central Florida PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; 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.