Active NPI
Robert K Bornt
- Psychologist
- Homer, AK
National Provider Identifier
1689279143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- ROBERT K BORNT
- Practice address
- 3684 Main St Apt 1
Homer, AK 99603-7560 - Phone
- (907) 342-2661
- NPI assigned
- Dec 2, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Robert K Bornt, LMFT, CDC
- Title
- Owner/Ceo
- Phone
- (907) 432-2661
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
3684 Main St Apt 1
Homer, AK 99603-7560
Mailing address
PO Box 3140
Homer, AK 99603-3140
Phone (907) 342-2661
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1606953600000",
"number": "1689279143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3140",
"city": "HOMER",
"state": "AK",
"postal_code": "996033140",
"telephone_number": "907-342-2661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3684 MAIN ST APT 1",
"city": "HOMER",
"state": "AK",
"postal_code": "996037560",
"telephone_number": "907-342-2661"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT K BORNT",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-02",
"last_updated": "2020-12-03",
"certification_date": "2020-12-03",
"status": "A",
"authorized_official_last_name": "BORNT",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "OWNER/CEO",
"authorized_official_telephone_number": "907-432-2661",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LMFT, CDC"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Homer, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.