Active NPI
Orin Borders, PHD
- Psychologist
- Sacramento, CA
National Provider Identifier
1043556863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY8742
- Practice address
- 2015 21St St
Suite 400
Sacramento, CA 95818-1752 - Phone
- (530) 448-9177
- NPI assigned
- Dec 26, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY8742 | CA | Primary |
Addresses
Primary practice location
2015 21St St
Suite 400
Sacramento, CA 95818-1752
Mailing address
2015 21St St Ste 400
Sacramento, CA 95818-1752
Phone (530) 448-9177
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Apr 1, 2017 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY8742 | CA | MD | Psychologist |
| 8742 | CA | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356480000000",
"number": "1043556863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2015 21ST ST STE 400",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958181752",
"telephone_number": "530-448-9177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2015 21ST ST",
"address_2": "SUITE 400",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958181752",
"telephone_number": "530-448-9177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORDERS",
"first_name": "ORIN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-12-26",
"last_updated": "2012-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY8742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.