Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Shaune Kelly Bornholdt, PHD

Individual provider Psychologist · NPI 1063673226

Dr. Shaune Kelly Bornholdt, PHD is a Psychologist in Bronx, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1165 Morris Park Ave
Bronx, NY 10461-1915
Phone: (718) 430-3900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 014867 (NY)

Record details

NPI number1063673226
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedJune 20, 2008
Last updated in NPPESJune 20, 2008

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