DR. JEREMY ELIJAH BORNSTEIN (NPI# 1063468577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063468577 |
| Entity Type | Individual |
| Full Name | DR. JEREMY ELIJAH BORNSTEIN |
| Credential | PH.D. |
| Practice Address |
2340 Clay St 7th Floor San Francisco CA 94115-1932 |
| Mailing Address |
Po Box 225044 San Francisco CA 94122-5044 |
| Practice Telephone | 4154496440 |
| Practice Fax Number | 4154496440 |
| Mailing Telephone | 4154496440 |
| Mailing Fax Number | 4154496440 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | PSY 20633 | CA | Behavioral Health & Social Service Providers |
| Street Address |
2340 CLAY ST 7TH FLOOR |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94115-1932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013917046 | Sung Whan Choi | Internal Medicine | 2340 Clay St, Suite 525, San Francisco, CA 94115-1932 | 2005-08-01 |
| 1992258263 | Sutter Bay Medical Foundation | Internal Medicine | 2340 Clay St, Floors 1-5 and 7, San Francisco, CA 94115-1932 | 2016-08-03 |
| 1235588260 | Romana Popara Dymkoski | Psychiatry & Neurology | 2340 Clay St, #706, San Francisco, CA 94115-1932 | 2016-06-09 |
| 1225483860 | Marissa Mederos Benge | Nurse Practitioner | 2340 Clay St, Suite 600, San Francisco, CA 94115-1932 | 2016-05-02 |
| 1053780205 | Lynn Sievers | Nurse Practitioner | 2340 Clay St, Suite 537, San Francisco, CA 94115-1932 | 2015-09-17 |
| 1093106247 | Sutter West Bay Hospitals | General Acute Care Hospital | 2340 Clay St, 5th Floor, Ophthalmology Department, San Francisco, CA 94115-1932 | 2015-02-10 |
| 1720420649 | Sarah Newsom Healy | Nurse Practitioner | 2340 Clay St, San Francisco, CA 94115-1932 | 2013-07-19 |
| 1518203207 | Adrian Dokey | Ophthalmology | 2340 Clay St, 5th Floor, Ophthalmology, San Francisco, CA 94115-1932 | 2012-12-27 |
| 1477807758 | Maya Si-huey Ling | Ophthalmology | 2340 Clay St, 5th Floor, San Francisco, CA 94115-1932 | 2012-11-07 |
| 1023362134 | California Pacific Medical Center | General Acute Care Hospital | 2340 Clay St, 5th Floor, San Francisco, CA 94115-1932 | 2012-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619593274 | Francene G Colvin | Psychologist | 1939 Divisadero, Suite 1, San Francisco, CA 94115 | 2020-06-19 |
| 1760015689 | Simon James Little | Psychiatry & Neurology | 1634 Divisadero St, Suite 250, San Francisco, CA 94115 | 2020-02-19 |
| 1881243822 | Clara Kwun | Social Worker | 1610 Scott St., San Francisco, CA 94115 | 2019-09-11 |
| 1467005207 | Tamara Aline Hostetler | Marriage & Family Therapist | 2859 Sacramento St., San Francisco, CA 94115 | 2019-07-22 |
| 1962054999 | Wendy Lynne Stern | Psychologist | 2104 Bush St., San Francisco, CA 94115 | 2019-07-10 |
| 1184188476 | Katherine Marie Carroll | Specialist/Technologist | 1731 B Buchanan Street, San Francisco, CA 94115 | 2019-01-30 |
| 1710467410 | Joanna Katherine Hendrick | Marriage & Family Therapist | 1201 Fillmore Street, San Francisco, CA 94115 | 2018-08-21 |
| 1063998771 | Leonard Cheung | Counselor | Youth Services Bureau of San Francisco, 1426 Fillmore Street Suite 216, San Francisco, CA 94115 | 2018-07-16 |
| 1942709563 | Jobelle Cunanan | Behavior Technician | 1871 Turk St, San Francisco, CA 94115 | 2018-02-09 |
| 1083128235 | Dr. Jenny Mann, Nd | Clinic/Center | 2300 Sutter St Ste 301, San Francisco, CA 94115 | 2017-11-27 |
| Find all providers in zip 94115 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447800842 | Lainie Falco Posecion | Clinical Neuropsychologist | 1340 Taylor St Apt 6, San Francisco, CA 94108-1033 | 2019-09-17 |
| 1174909824 | Ronald H Roberts | Clinical Neuropsychologist | 2000 Van Ness Ave Ste 512, San Francisco, CA 94109-3017 | 2015-08-05 |
| 1912383886 | Gina Pfeifle | Clinical Neuropsychologist | 1825 Fourth Street, 6th Floor, M-6395, Ucsf Bx 4054, San Francisco, CA 94143 | 2015-08-03 |
| 1912293168 | Lisa Sporri | Clinical Neuropsychologist | 912 Cole St # 275, San Francisco, CA 94117-4316 | 2011-06-27 |
| 1376847293 | Ricardo Winkel | Clinical Neuropsychologist | 101 California St Ste 2450, San Francisco, CA 94111-6102 | 2011-01-06 |
| 1023318540 | Helen Chen | Clinical Neuropsychologist | 909 Hyde St Ste 620, San Francisco, CA 94109-4847 | 2010-11-01 |
| 1669789194 | Nicole Lara Sucre | Clinical Neuropsychologist | 1700 Pierce St Ste 103, San Francisco, CA 94115-3187 | 2010-09-03 |
| 1174842041 | Eric Michael Fine | Clinical Neuropsychologist | 533 Parnassus Ave, Uc Hall 426, Ucsf Memory and Aging Center, San Francisco, CA 94117 | 2010-05-18 |
| 1861632408 | Nataliya Belfor | Clinical Neuropsychologist | 2299 Post St Ste 307, San Francisco, CA 94115-3441 | 2009-02-23 |
| 1295971984 | Amanda Gregory | Clinical Neuropsychologist | 3644 Market St, San Francisco, CA 94131-1339 | 2008-12-30 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94115 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.