Organization Active NPI

Guillermo Borrero, M.D. & Associates, PC

  • Psychiatry Physician
  • Clairton, PA
National Provider Identifier
1639143142
Registry record updated Feb 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
GUILLERMO BORRERO, M.D. & ASSOCIATES, PC
Practice address
575 Coal Valley Rd
Suite 303
Clairton, PA 15025-3730
Phone
(412) 469-8933
Fax
(412) 466-2990
NPI assigned
Feb 14, 2006
Last updated
Feb 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2011

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

Authorized official

Name
Carrie Jean Pisani, MBA
Title
Administrative Director
Phone
(412) 469-8933

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW001033L PA
Specialist 174400000X MD033759L PA
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

575 Coal Valley Rd
Suite 303
Clairton, PA 15025-3730

Mailing address

575 Coal Valley Rd
Suite 303
Clairton, PA 15025-3730
Phone (412) 469-8933

Other identifiers 1

IdentifierTypeStateIssuer
1760621OtherPAHIGHMARK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051219000669 PA Part B Supplier - Clinic/Group Practice 8729000732 Receives reassigned benefits from 4 practitioners
Practice locations: Clairton, PA

National Provider Directory

National Provider Directory
Tax ID family
Guillermo Borrero MD Associates PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

575 Coal Valley Rd
Ste 461
Jefferson Hls, PA 15025
Phone (412) 466-6800

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297123200000",
    "number": "1639143142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 COAL VALLEY RD",
            "address_2": "SUITE 303",
            "city": "CLAIRTON",
            "state": "PA",
            "postal_code": "150253730",
            "telephone_number": "412-469-8933",
            "fax_number": "412-466-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 COAL VALLEY RD",
            "address_2": "SUITE 303",
            "city": "CLAIRTON",
            "state": "PA",
            "postal_code": "150253730",
            "telephone_number": "412-469-8933",
            "fax_number": "412-466-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUILLERMO BORRERO, M.D. & ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-14",
        "last_updated": "2011-02-08",
        "status": "A",
        "authorized_official_last_name": "PISANI",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "412-469-8933",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW001033L",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD033759L",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "1760621",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clairton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.