Active NPI
Sanka Samardzija-Borovich, PSY D
- Clinical Psychologist
- Crown Point, IN
National Provider Identifier
1639483878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 20043349A
- Practice address
- 2100 N Main St # 304
Crown Point, IN 46307-1877 - Phone
- (574) 546-1900
- Fax
- (574) 546-1999
- NPI assigned
- Jul 29, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 20043349A | IN | Primary |
| Psychologist | 103T00000X | 1201 | NM | |
| Psychologist | 103T00000X | 071.008218 | IL | |
| Clinical Psychologist | 103TC0700X | 071008218 | IL |
Addresses
Primary practice location
2100 N Main St # 304
Crown Point, IN 46307-1877
Mailing address
5600 Eubank Blvd NE Ste 160
Albuquerque, NM 87111-1554
Phone (505) 221-6007
Other practice location 1
5600 Eubank Blvd NE
Albuquerque, NM 87111
Phone (505) 221-6007
Other names 1
- Sanka Samardzija
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2100 N Main St
Suite 304
Crown Point, IN 46307-1877
Phone (574) 546-1900
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.06 of 100
- Quality
- 80.07
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071.008218 | IL | MD | Psychologist |
| 20043349A | IN | MD | Clinical Psychologist |
| 1201 | NM | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurology and Pain Management Associates PC | Clinical | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Crown Point, IN
- NPI 1518900620
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781654400000",
"number": "1639483878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5600 EUBANK BLVD NE STE 160",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871111554",
"telephone_number": "505-221-6007",
"fax_number": "505-738-4045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 N MAIN ST # 304",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463071877",
"telephone_number": "574-546-1900",
"fax_number": "574-546-1999"
}
],
"practiceLocations": [
{
"address_1": "5600 Eubank Blvd NE",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "87111",
"country_code": "US",
"telephone_number": "505-221-6007",
"fax_number": "505-738-4045",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAMARDZIJA-BOROVICH",
"first_name": "SANKA",
"credential": "PSY D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-29",
"last_updated": "2026-06-17",
"certification_date": "2026-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IN",
"license": "20043349A",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NM",
"license": "1201",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IL",
"license": "071.008218",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071008218",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SANKA",
"last_name": "SAMARDZIJA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Crown Point, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.