Gregory E Borgerson, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301010706 Issued in MI

Practice address

4798 Wenmar Dr
Saginaw, MI 48604-2843

Phone

(989) 790-5980

Fax

(989) 790-7182

NPI assigned

Jan 26, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216771200000",
    "number": "1407902158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4798 WENMAR DR",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042843",
            "telephone_number": "989-790-5980",
            "fax_number": "989-790-7182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4798 WENMAR DR",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042843",
            "telephone_number": "989-790-5980",
            "fax_number": "989-790-7182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORGERSON",
        "first_name": "GREGORY",
        "middle_name": "E",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2008-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301010706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEHAVIORAL",
            "identifier": "1183233",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "680G345300",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "A908706",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "630101",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sparkalena Crystal Boose, LLPC
• Patricia Fiona Boothe, MD, PHD
• Charles A Borchard, DPM
• Angala B Borders-Robinson, DO
• Robert Louis Borenitsch, DO
• Garrett James Borgman
• Kerri Lynn Boros, MA, LPC,
• Kyle Boros, LLPC
• Kristen Borowitz, MASTERS OF ARTS
• Brooke Bos

• Psychologist in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.