Active NPI
Austin Leigh Boroshok, PHD
- Psychologist
- Baltimore, MD
National Provider Identifier
1144923137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 600 N Wolfe Street
Meyer BLDG 101
Baltimore, MD 21287 - Phone
- (443) 752-4350
- NPI assigned
- Mar 27, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
600 N Wolfe Street
Meyer BLDG 101
Baltimore, MD 21287
Mailing address
737 W Lombard St FL 4
Baltimore, MD 21201-1009
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 28, 2025 through Jul 28, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07409 | MD | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723766400000",
"number": "1144923137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "737 W LOMBARD ST FL 4",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N WOLFE STREET",
"address_2": "MEYER BLDG 101",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21287",
"telephone_number": "443-752-4350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOROSHOK",
"first_name": "AUSTIN",
"middle_name": "LEIGH",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-27",
"last_updated": "2024-08-16",
"certification_date": "2024-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.