Katherine Borchardt, PSY.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

071-005561 Issued in IL

Practice address

5007 Lincoln Ave
Suite 205
Lisle, IL 60532-4187

Phone

(630) 680-5494

Fax

(630) 369-5989

NPI assigned

Mar 22, 2007

Last updated

Jul 22, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Katherine Borchardt, Psy.D., P.C.

  • Clinical Psychologist
  • Lisle, IL
  • NPI 1326480989
  NPD Authorized official

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374451200000",
    "number": "1275659732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 S NAPER BLVD",
            "address_2": "STE. 119",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605408360",
            "telephone_number": "630-680-5494",
            "fax_number": "630-369-5989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5007 LINCOLN AVE",
            "address_2": "SUITE 205",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605324187",
            "telephone_number": "630-680-5494",
            "fax_number": "630-369-5989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORCHARDT",
        "first_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2013-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "IL",
            "license": "071-005561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NO",
            "identifier": "2222171",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen E Blattner, SLP
• BLC-Devonshire of Lisle, LLC (Brookdale Lisle AL)
• Kaitlin Marie Block, LSW
• Boehm Dental Care
• Shannon Bohnert, MA, CCC-SLP
• Boyce Chiropractic Lisle (Boyce Chiropractic)
• Jennifer Lauren Brammeier, D.D.S
• Marc I Brand, M.D.
• Steven Benjamin Brandes, M.D.
• Christina E Bratis, M.D.

• Clinical Neuropsychologist in Lisle, IL
• Providers in Lisle, IL by specialty
• Clinical Neuropsychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; 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.

Verify at the official NPI Registry.