Andrea Sumner Borge, RADT I

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

R115401214 Issued in CA

Practice address

1550 Juliesse Ave
Sacramento, CA 95815-1803

Phone

(916) 405-4600

Fax

(916) 921-6604

NPI assigned

Sep 15, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Wellspace Health

  • Substance Abuse Rehabilitation Facility
  • Sacramento, CA
  • NPI 1871617688
  NPD (past)

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442275200000",
    "number": "1700255221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 JULIESSE AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958151803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 JULIESSE AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958151803",
            "telephone_number": "916-405-4600",
            "fax_number": "916-921-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORGE",
        "first_name": "ANDREA",
        "middle_name": "SUMNER",
        "credential": "RADT I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-15",
        "last_updated": "2015-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R115401214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dena Bordelon
• Alexis Borden, NCMA
• Matthew Bradley Bordenave
• Orin Borders, PHD
• Elisa Borg
• Gary Curtis Borge, DDS
• Samantha Anne Borger, B.A. PSYCHOLOGY
• Crystal Lynn Borges-Singh
• Amanda Carolina Borges
• Tracie Nicole Borges

• Addiction (Substance Use Disorder) Counselor in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; 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.