Dr. Heather L. Bornfeld, Ph.D.
Clinical Neuropsychologist in San Francisco, CA. Individual provider (NPI-1).
NPI number1477597771
StatusActive
Last updated in NPPESJul 9, 2007
Details
- NPI
- 1477597771
- Entity type
- Individual (NPI-1)
- Name
- Dr. Heather L. Bornfeld
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 16, 2006
- Last updated
- Jul 9, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- Medicare opt-out
- Jul 1, 2019 to Jul 1, 2027
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | PSY19494 | CA | Yes |
Practice location
401 Parnassus AveSan Francisco, CA 94143-2211
Phone 415-476-7762 · Fax 415-502-6364
Mailing address
1529 20th StSan Francisco, CA 94107-2808
Phone 415-244-7684 · Fax 415-502-2324
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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