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

Individual provider Clinical Psychologist · NPI 1376748780

Kirsty E Bortnik, PHD is a Clinical Psychologist in Santa Monica, California. Works from 2 locations. Licensed in California and New York.

Licensed in
CA, NY
In the registry since
2007
Specialties on file
3
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

1301 20th St Ste 150
Santa Monica, CA 90404-2050
Phone: (310) 458-2764
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 710 W 168th St, New York, NY 10032-3726 — (212) 305-3247

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 32126 (CA)
Clinical Psychologist Taxonomy 103TC0700X · Licence 32126 (CA)
Clinical Psychologist Taxonomy 103TC0700X · Licence 019916 (NY)

Record details

NPI number1376748780
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedJune 15, 2007
Last updated in NPPESJanuary 9, 2024
Certification dateJanuary 9, 2024

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