Todd Jerald Borgie

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

IMF97571 Issued in CA

Practice address

207 37TH St
Richmond, CA 94805-2105

Phone

(510) 233-7555

Fax

(510) 233-4545

NPI assigned

Nov 17, 2017

Last updated

Jul 16, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in CA, OR2 enrollments

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 2

Specialty

Marriage and Family Therapist

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846

  Marriage & Family Therapist

  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Marriage & Family Therapist, OR

  Medicare reassignment NPD

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

{
    "created_epoch": "1510876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1457865081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 37TH ST",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948052105",
            "telephone_number": "510-233-7555",
            "fax_number": "510-233-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 37TH ST",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948052105",
            "telephone_number": "510-233-7555",
            "fax_number": "510-233-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORGIE",
        "first_name": "TODD",
        "middle_name": "JERALD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-17",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT119705",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF97571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Bonacich, MD
• Jacqueline Danielle Bonds
• Paula Bonnell
• Betaya Simone Boorda, PMHNP
• Scott Ellis Booth, SCHOOL PSYCHOLOGY
• Robert Kent Borton, ASW
• Tina D Bostic, MFT
• Patricia Mary Boucher, MS
• Renee J Boult
• Robin Joy Bowlay-Williams, NP

• Marriage & Family Therapist in Richmond, CA
• Providers in Richmond, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; 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.