Active NPI
Bornemann Health Corporation
- Psychiatry Physician
- Reading, PA
National Provider Identifier
1467409821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- BORNEMANN HEALTH CORPORATION
- Doing business as
- Bornemann Psychiatry
- Practice address
- 145 N 6TH St
Reading, PA 19601-3501 - Phone
- (610) 378-2400
- Fax
- (610) 378-2402
- NPI assigned
- May 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Lim
- Title
- VP Finance/Cfo
- Phone
- (610) 378-2288
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | |||
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
145 N 6TH St
Reading, PA 19601-3501
Mailing address
PO Box 316
Reading, PA 19603-0316
Phone (610) 378-2731
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007411020016 | Medicaid | PA | |
| 3084800 | Other | CAPITAL BC |
Other names 1
- Bornemann Psychiatry
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1255564800000",
"number": "1467409821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 316",
"city": "READING",
"state": "PA",
"postal_code": "196030316",
"telephone_number": "610-378-2731",
"fax_number": "610-208-8875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 N 6TH ST",
"city": "READING",
"state": "PA",
"postal_code": "196013501",
"telephone_number": "610-378-2400",
"fax_number": "610-378-2402"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BORNEMANN HEALTH CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-30",
"last_updated": "2009-10-15",
"status": "A",
"authorized_official_last_name": "LIM",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "VP FINANCE/CFO",
"authorized_official_telephone_number": "610-378-2288"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007411020016",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BC",
"identifier": "3084800",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Bornemann Psychiatry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Reading, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.