Organization Active NPI

Borgaro Neuropsychology Services, LLC

  • Psychologist
  • Phoenix, AZ
National Provider Identifier
1316149362
Registry record updated Oct 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3457 Issued in NJ
Legal business name
BORGARO NEUROPSYCHOLOGY SERVICES, LLC
Practice address
300 W Clarendon
Suite 130
Phoenix, AZ 85013-3421
Phone
(602) 300-1508
Fax
(602) 277-5848
NPI assigned
Jun 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2016

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

Authorized official

Name
Susan Borgaro, PHD
Title
Director
Phone
(602) 300-1508

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 3457 NJ Primary

Addresses

Primary practice location

300 W Clarendon
Suite 130
Phoenix, AZ 85013-3421

Mailing address

11445 E Via Linda
Suite 2, PMB 473
Scottsdale, AZ 85259-2654
Phone (602) 300-1508

Other names 1

  • Neuropsychology Assessment Services Doing business as

National Provider Directory

National Provider Directory

Locations

300 W Clarendon Ave
Ste 130
Phoenix, AZ 85013
Phone (602) 300-1508

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476748800000",
    "number": "1316149362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11445 E VIA LINDA",
            "address_2": "SUITE 2, PMB 473",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852592654",
            "telephone_number": "602-300-1508",
            "fax_number": "602-277-5848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W CLARENDON",
            "address_2": "SUITE 130",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133421",
            "telephone_number": "602-300-1508",
            "fax_number": "602-277-5848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORGARO NEUROPSYCHOLOGY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2016-10-18",
        "status": "A",
        "authorized_official_last_name": "BORGARO",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "602-300-1508",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "3457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neuropsychology Assessment Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.