Active NPI
Abigail Lea Borich
- Psychiatry Physician
- Charleston, SC
National Provider Identifier
1225699804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 82941
- Practice address
- 2100 Charlie Hall Blvd
Charleston, SC 29414-5832 - Phone
- (843) 852-4100
- NPI assigned
- Jun 25, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 82941 | SC | Primary |
Addresses
Primary practice location
2100 Charlie Hall Blvd
Charleston, SC 29414-5832
Mailing address
169 Ashley Ave RM 202
Charleston, SC 29425-8905
Other practice location 1
169 Ashley Ave Rm 202
Charleston, SC 29425-8905
Phone (843) 792-0192
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760596480 | Medicaid | SC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | borich@musc.edu |
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: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82941 | SC | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625184000000",
"number": "1225699804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169 ASHLEY AVE RM 202",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294258905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 CHARLIE HALL BLVD",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294145832",
"telephone_number": "843-852-4100"
}
],
"practiceLocations": [
{
"address_1": "169 Ashley Ave Rm 202",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "294258905",
"country_code": "US",
"telephone_number": "843-792-0192",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BORICH",
"first_name": "ABIGAIL",
"middle_name": "LEA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-25",
"last_updated": "2021-07-02",
"certification_date": "2021-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "SC",
"license": "82941",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1760596480",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "borich@musc.edu",
"affiliation": "N",
"endpointDescription": "email",
"address_1": "169 Ashley Ave Rm 202",
"city": "Charleston",
"state": "SC",
"country_code": "US",
"postal_code": "294258905",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.