Bruce Borkosky PSYD PA

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY5159 Issued in FL

Legal business name

BRUCE BORKOSKY PSYD PA

Doing business as

Personal Development

Practice address

1800 Lakeview Dr
Sebring, FL 33870-7928

Phone

(863) 308-0276

Fax

(813) 200-8450

NPI assigned

Mar 30, 2015

Last updated

Mar 30, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bruce G Borkosky, PSY.D.NPI 1164620969

Title

President

Phone

(863) 386-0276

Specialties & licenses 8

Addresses

Other names 1

• Personal Development Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bruce Glenn Borkosky, PSY.D.

  • Psychologist
  • Sebring, FL
  • NPI 1164620969
  NPD (past) Authorized official

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427673600000",
    "number": "1396130241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 LAKEVIEW DR",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338707928",
            "telephone_number": "863-308-0276",
            "fax_number": "813-200-8450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 LAKEVIEW DR",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338707928",
            "telephone_number": "863-308-0276",
            "fax_number": "813-200-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE BORKOSKY PSYD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-30",
        "last_updated": "2015-03-30",
        "status": "A",
        "authorized_official_last_name": "BORKOSKY",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-386-0276",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY5159",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY5159",
            "primary": true
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "PY5159",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "FL",
            "license": "PY5159",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "FL",
            "license": "PY5159",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "FL",
            "license": "PY5159",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "FL",
            "license": "PY5159",
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "FL",
            "license": "PY5159",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Personal Development",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Brooks, PHARMACIST
• Toni Brooks, RN
• Barry Matthew Brown, CNMT
• Lakiera Brown, LPN
• Rachell Denice Brown
• Kevin Patrick Bryan, M.D.
• Bucci Eyecare, PLLC
• Jessie Leigh Buchanan, APRN
• Sabrina Buckholdt, LPN
• Annette M. Bullard, COTA

• Psychologist in Sebring, FL
• Providers in Sebring, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; 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.