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

Jessica Bordenave, PSYD, LP

Individual provider Clinical Neuropsychologist · NPI 1023500113

Jessica Bordenave, PSYD, LP is a Clinical Psychologist in Bloomington, Minnesota. Qualified in 2016, 10 years ago. Practices with Main Line Healthcare, a 1,153-clinician group and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying
10
Licensed in
MN, WI
In the registry since
2018
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

1101 E 78th St Ste 100
Bloomington, MN 55420-1402
Phone: (952) 854-5034
Fax: (952) 854-5363
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 6325 (MN)
Clinical Neuropsychologist Taxonomy 103G00000X · Licence 3557-57 (WI)

Record details

NPI number1023500113
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD , LP
Sole proprietorNo
NPI enumeratedJune 4, 2018
Last updated in NPPESNovember 12, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Main Line Healthcare — 1153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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