Andrew Jeffrey Borson, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PS-004142-L Issued in PA

Practice address

101 Cambridge Rd
Broomall, PA 19008-3309

Phone

(610) 356-0462

Fax

(610) 595-6273

NPI assigned

Mar 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Andrew J. Borson

  • Clinical Psychologist
  • Broomall, PA
  • NPI 1033460233

  Clinical Neuropsychologist

  NPD (past) Authorized official

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

{
    "created_epoch": "1142121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348531200000",
    "number": "1093783243",
    "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": {
        "last_name": "BORSON",
        "first_name": "ANDREW",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-12",
        "last_updated": "2012-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "PA",
            "license": "PS-004142-L",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS-004142-L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blossom Home Care LLC
• Stephanie Marie Bodnar, RD, LDN
• Jeffrey Bomze, MD
• Andrew G Bongiovanni, DO
• Jessica Bordas, BT
• Linda Simone Borson, M.ED.
• John Boschetti, D.O.
• Mary E Bove, MD
• Grace F Bowler, AS
• Ann Marie Daly Bradley, CRNP

• Clinical Neuropsychologist in Broomall, PA
• Providers in Broomall, PA by specialty
• Clinical Neuropsychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.