Active NPI
Katherine Borchardt, Psy.D., P.C.
- Clinical Psychologist
- Lisle, IL
National Provider Identifier
1326480989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Katherine Borchardt, PSY.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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 DirectoryLocations
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.
-
- Clinical Neuropsychologist
- Lisle, IL
- NPI 1275659732
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.