Organization Active NPI

Katherine Borchardt, Psy.D., P.C.

  • Clinical Psychologist
  • Lisle, IL
National Provider Identifier
1326480989
Registry record updated Jul 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
KATHERINE BORCHARDT, PSY.D., P.C.
Practice address
5007 Lincoln Ave
Lisle, IL 60532-4187
Phone
(630) 680-5494
Fax
(630) 369-5989
NPI assigned
Jul 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2013

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

Authorized official

Name
Dr. Katherine Borchardt, PSY.D.NPI 1275659732
Title
Owner/Clinical Psychologist
Phone
(630) 680-5494

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

5007 Lincoln Ave
Lisle, IL 60532-4187

Mailing address

1212 S Naper Blvd Ste 119
Naperville, IL 60540-7349
Phone (630) 680-5494

National Provider Directory

National Provider Directory

Locations

5007 Lincoln Ave
Ste 205
Lisle, IL 60532
Phone (630) 395-9228

5007 Lincoln Ave
Lisle, IL 60532
Phone (630) 680-5494

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374624000000",
    "number": "1326480989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 S NAPER BLVD STE 119",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605407349",
            "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",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605324187",
            "telephone_number": "630-680-5494",
            "fax_number": "630-369-5989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHERINE BORCHARDT, PSY.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-24",
        "last_updated": "2013-07-24",
        "status": "A",
        "authorized_official_last_name": "BORCHARDT",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER/CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "630-680-5494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lisle, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; 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.