NPPES file of Aug 9, 2026

Shaune Kelly Bornholdt, PH.D.

Psychologist · Bronx, NY

Shaune Kelly Bornholdt, PH.D. is a psychologist with a practice address in Bronx, New York, and NPI 1063673226, issued on Jun 20, 2008. Check the license (New York 014867, as entered in NPPES) with the New York board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1063673226
Name
Shaune Kelly Bornholdt
Credential
PH.D.
Primary taxonomy
Psychologist 103T00000X
License number
014867 NY
Self-reported in NPPES; status is on the state search
Practice location
1165 Morris Park Ave, Bronx, NY 10461
Phone
(718) 430-3900
Enumerated
Jun 20, 2008
Record last updated
Jun 20, 2008 (not updated in 18 years: call before relying on the address or phone)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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8 nearest psychologist records → All 5,045 in New York → Look up another NPI →

Also registered at 1165 Morris Park Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

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  3. Allison BrudnerSpeech-Language Pathologist1194124735
  4. Sarah Carmody, CCC-SLPSpeech-Language Pathologist1316263171
  5. Gladys Crespo Ramos, PHDClinical Psychologist1679292718
  6. Tiffani Desrosiers, M.S. CCC-SLPSpeech-Language Pathologist1831440643

Verify Shaune Kelly Bornholdt in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich New York board licenses this profession
    Search for license 014867    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the New York license search

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Shaune Kelly Bornholdt among 5,045 psychologist records in New York

Shaune Kelly Bornholdt, PH.D. is one of 5,045 psychologist records with a practice address in New York. 6% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2008, is newer than 38% of them.

  • NPI issued2008 · 38% of these records are older, 58% newer
  • In a Medicare fileNo · 6% of these records are
  • In the CMS Doctors and Clinicians fileNo · 15% of these records are
  • Record last updated2008 · 70% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103T00000X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Psychologist providers in New York

There are 5,045 psychologist records in New York. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

All 5,045 in New York → Every provider in Bronx → Psychologist nationwide →

The 8 psychologist records with the nearest ZIP codes

  1. Ruhi AgharabiBronx, NY 104611740350610
  2. Mayra Alvarez, PH.D.Bronx, NY 104611376696591
  3. Rahil Briggs, PSYDBronx, NY 104611134204597
  4. Dawn Buse, PHDBronx, NY 104611508941295
  5. Alec Cecil, ED.D.Bronx, NY 104611417082793
  6. Susan Chinitz, PSY.D.Bronx, NY 104611093853566
  7. Katharine Chittenden, PSY. M.Bronx, NY 104611871663922
  8. Jill Conklin, PH.D.Bronx, NY 104611528098654

Common questions

What is Shaune Kelly Bornholdt, PH.D.'s NPI number?

Shaune Kelly Bornholdt, PH.D.'s National Provider Identifier (NPI) is 1063673226, issued on Jun 20, 2008. An NPI identifies a provider in billing; it is not a license.

Where is Shaune Kelly Bornholdt, PH.D. located?

The NPPES record lists a practice address at 1165 Morris Park Ave, Bronx, NY, 10461. Phone: (718) 430-3900. Providers update this record themselves, so call before visiting.

How can I verify Shaune Kelly Bornholdt, PH.D.'s license?

NPPES lists New York license number 014867, as entered by the provider. Search the New York board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.