Connie Borden, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

33784 Issued in TX

Practice address

1216 N Central Expy
Ste 102
McKinney, TX 75070-3310

Phone

(972) 800-3930

Fax

(214) 975-2793

NPI assigned

Dec 17, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197849600000",
    "number": "1003090747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9720 COIT RD",
            "address_2": "STE 220-222",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750255833",
            "telephone_number": "972-800-3930",
            "fax_number": "214-975-2793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 N CENTRAL EXPY",
            "address_2": "STE 102",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750703310",
            "telephone_number": "972-800-3930",
            "fax_number": "214-975-2793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDEN",
        "first_name": "CONNIE",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-17",
        "last_updated": "2007-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "33784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "33784",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Jordan Bonomo
• Olivia Ann Boone
• Cherie L. Booth, MD
• Heather Booth, OTR/L
• Borden Psychological Services, P.a.
• Emily Bordier, MS, CCC-SLP
• Billy R Boring Jr., MD
• Jordan Borsay
• Melissa Dawn Borski, LPC
• Isabella Bosire

• Psychologist in McKinney, TX
• Providers in McKinney, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.