Ernest J Bordini

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY0004140 Issued in FL

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

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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

• Ernest J Bordini PHD & Assoc PA

  • Psychologist
  • Gainesville, FL
  • NPI 1508846254
  NPD (past) Authorized official

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972583623",
    "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": {
        "last_name": "BORDINI",
        "first_name": "ERNEST",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY0004140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "73441",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Boothe, MD
• Natalia Andrea Boquin, FNP-C
• Kadi Nicole Borchers, MSN, CNM
• Solene Bordas
• Deepa J Borde, MD
• Christian Borer, DDS
• Rebecca Jayne Borgert, PHARM.D.
• Roberto Ezequiel Borgia
• Christie Lynn Boria-Sloan
• Kenneth Martin Borick Jr., RN

• Psychologist in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.