Individual provider Active NPI

Cheryl A. Borst, PSYD

  • Clinical Psychologist
  • Barrington, IL
National Provider Identifier
1306910633
Registry record updated Feb 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071-004891 Issued in IL
Practice address
901 Fox GLN
Barrington, IL 60010-1863
Phone
(847) 304-0770
Fax
(847) 304-0795
NPI assigned
Nov 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071-004891 IL Primary

Addresses

Primary practice location

901 Fox GLN
Barrington, IL 60010-1863

Mailing address

901 Fox GLN
Barrington, IL 60010-1863
Phone (847) 304-0770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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

Enrollment IDStateProvider typePAC IDDetails
I20041105001107 IL Practitioner - Clinical Psychologist 3577539683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Borst and Associates, IncGroup PAC ID 5597731604, 8 clinicians

Practice addresses (Care Compare)

901 Fox Glen CT
Barrington, IL 60010-1863
Phone (847) 304-0780

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071-004891ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Borst & Associates Inc Clinical CurrentSince Apr 1, 2013 Accepting new patients

Locations

901 Fox Gln
Barrington, IL 60010
Phone (847) 304-0770

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548979200000",
    "number": "1306910633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 FOX GLN",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600101863",
            "telephone_number": "847-304-0770",
            "fax_number": "847-304-0795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 FOX GLN",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600101863",
            "telephone_number": "847-304-0770",
            "fax_number": "847-304-0795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORST",
        "first_name": "CHERYL",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2019-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-004891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barrington, IL

Sources for this page

Verify at the official NPI Registry.