Richard L Borrego, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

940 Issued in CO

Practice address

3540 S Poplar St Ste 202
Denver, CO 80237-1362

Phone

(303) 850-7510

Fax

(303) 471-5901

NPI assigned

Sep 19, 2007

Last updated

Sep 19, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190160000000",
    "number": "1437345816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 S POPLAR ST STE 202",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802371362",
            "telephone_number": "303-850-7510",
            "fax_number": "303-471-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 S POPLAR ST STE 202",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802371362",
            "telephone_number": "303-850-7510",
            "fax_number": "303-471-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORREGO",
        "first_name": "RICHARD",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CO",
            "license": "940",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "940",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Spatt Bornstein, LPCC, PMH-C
• Steven Borohov, BSN, RN
• William Joseph Boroughf, D.O.
• Molly Boroughs, PTA
• Janet L Borowski, CAC II
• Shane Borrillo
• Samantha Mae Bort, REGISTERED NURSE
• Shannon Johnson Bortolotto
• Ann E Bortz, PSYD
• Christina Cassidy Bortz, LPC

• Clinical Neuropsychologist in Denver, CO
• Providers in Denver, CO by specialty
• Clinical Neuropsychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; 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.