NPIMap

Organization Active NPI

Borrie Psychological PC

  • Counseling Psychologist
  • Setauket, NY
National Provider Identifier
1013047927
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
07931 Issued in NY
Legal business name
BORRIE PSYCHOLOGICAL PC
Practice address
7 Locust Ave
Setauket, NY 11733-2253
Phone
(631) 689-1223
Fax
(631) 689-1223
NPI assigned
Mar 7, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Roderick Allen Borrie, PH.D.NPI 1467517904
Title
Co-Owner
Phone
(631) 689-1223

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 07931 NY Primary

Addresses

Primary practice location

7 Locust Ave
Setauket, NY 11733-2253

Mailing address

7 Locust Ave
Setauket, NY 11733-2253
Phone (631) 689-1223

Other identifiers 1

IdentifierTypeStateIssuer
01897754MedicaidNY

National Provider Directory

National Provider Directory

Locations

636 Middle Country Rd
Selden, NY 11784
Phone (631) 736-4414

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013047927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 LOCUST AVE",
            "city": "SETAUKET",
            "state": "NY",
            "postal_code": "117332253",
            "telephone_number": "631-689-1223",
            "fax_number": "631-689-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 LOCUST AVE",
            "city": "SETAUKET",
            "state": "NY",
            "postal_code": "117332253",
            "telephone_number": "631-689-1223",
            "fax_number": "631-689-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORRIE PSYCHOLOGICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BORRIE",
        "authorized_official_first_name": "RODERICK",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "631-689-1223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NY",
            "license": "07931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01897754",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Setauket, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.