NPIMap

Organization Active NPI

Andrew J. Borson

  • Clinical Psychologist
  • Broomall, PA
National Provider Identifier
1033460233
Registry record updated Sep 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS-004142-L Issued in PA
Legal business name
ANDREW J. BORSON
Practice address
101 Cambridge Rd
Broomall, PA 19008-3309
Phone
(610) 356-0462
Fax
(610) 595-6273
NPI assigned
Sep 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2012

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

Authorized official

Name
Dr. Andrew J Borson, PH.D.NPI 1093783243
Title
Psychologist
Phone
(610) 356-0462

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103G00000X PS-004142-L PA
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X PS-004142-L PA Primary

Addresses

Primary practice location

101 Cambridge Rd
Broomall, PA 19008-3309

Mailing address

101 Cambridge Rd
Broomall, PA 19008-3309
Phone (610) 356-0462

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348704000000",
    "number": "1033460233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CAMBRIDGE RD",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190083309",
            "telephone_number": "610-356-0462",
            "fax_number": "610-595-6273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CAMBRIDGE RD",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190083309",
            "telephone_number": "610-356-0462",
            "fax_number": "610-595-6273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW J. BORSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-27",
        "last_updated": "2012-09-27",
        "status": "A",
        "authorized_official_last_name": "BORSON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "610-356-0462",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "PA",
            "license": "PS-004142-L",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS-004142-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomall, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; 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.