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Dr. Mark Ira Bornstein, PSYD
Psychologist in Arcadia, Florida
NPI 1518078351

Mark Ira Bornstein is a Psychologist based in Bradenton, FL. Mark Ira Bornstein practices in Arcadia, FL and has the professional credentials of PSYD. The NPI Number for Mark Ira Bornstein is 1518078351 and holds a License No. 071-004534 (Florida).

The current practice location address for Mark Ira Bornstein is 725 N 12Th Ave Bldg B, Arcadia, FL and can be reached out via phone at 863-494-1242.

Location: 725 N 12Th Ave Bldg B, Arcadia, FL, 34205-8812
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518078351
Provider Name
Mark Ira Bornstein
Credential
PSYD
Provider Entity Type
Individual
Gender
Male
Address
725 N 12Th Ave Bldg B, Arcadia, FL, 34205-8812
Phone Number
863-494-1242
Fax Number
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4932021 01 IL BLUE CROSS/BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
725 N 12Th Ave Bldg B
City
Arcadia
State
Florida
Zip
34266-8752
Phone Number
863-494-1242
Fax Number
person
Provider Business Mailing Address Details
Address
725 N 12Th Ave Bldg B
City
Arcadia
State
Florida
Zip
34266-8752
Phone Number
863-494-1242
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
PY11422 (Florida)
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
071-004534 (Illinois)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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