Kenny Borgas

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

SS1263 Issued in FL

Practice address

360 Central Ave Ste 1230
St Petersburg, FL 33701-3865

Phone

(727) 565-2424

Fax

(727) 440-8148

NPI assigned

May 10, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Saible Neuropsychology LLC

  • Clinical Neuropsychologist
  • St Petersburg, FL
  • NPI 1891227047
  NPD

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

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1346824000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6698 27TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337026320",
            "telephone_number": "727-692-8221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 CENTRAL AVE STE 1230",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013865",
            "telephone_number": "727-565-2424",
            "fax_number": "727-440-8148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORGAS",
        "first_name": "KENNY",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-10",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "FL",
            "license": "SS1263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Boozy, BA
• Brittany Lynette Bordeaux, SLPA
• Amanda Glynne Borden
• Heather Borders, MBA, RD, LD/N
• Holly Suzanne Bordon, M.D.
• Christina Borghi
• Elena Borisenko, ARNP
• Kyle James Borodunovich
• Rosemary C Borzell, M.A. CCC-SLP
• Loan Bosch, FNP-C

• School Psychologist in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• School Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.