IndividualActive
Shaune Bornholdt, PH.D.
NPI 1063673226 · Psychologist · Bronx, NY
Shaune Bornholdt, PH.D. is a Psychologist provider in Bronx, NY (NPI 1063673226).
Provider details
- NPI number
- 1063673226
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 014867 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1165 Morris Park Ave
Bronx, NY 10461-1915
Phone: (718) 430-3900
Street-level locationGet directions
Mailing address
501 W 121st St
New York, NY 10027-5903
Registry dates
- Enumerated
- 2008-06-20
- Last updated
- 2008-06-20
Frequently asked questions
- What is Shaune Bornholdt's NPI number?
- Shaune Bornholdt's National Provider Identifier (NPI) is 1063673226, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shaune Bornholdt's specialty?
- Shaune Bornholdt is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Shaune Bornholdt located?
- Shaune Bornholdt's practice location on file with NPPES is 1165 Morris Park Ave, Bronx, NY 10461-1915.
- What is Shaune Bornholdt's phone number?
- The practice phone number listed in the NPPES registry for Shaune Bornholdt is (718) 430-3900.
- Is Shaune Bornholdt's NPI active?
- Yes — Shaune Bornholdt's NPI (1063673226) is active in the NPPES registry as of the last update on 2008-06-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.