Michael Joseph Boerger, MS

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS005610L Issued in PA

Practice address

2141 Oregon Pike
Lancaster, PA 17601-4604

Phone

(717) 560-7917

Fax

(717) 560-6452

NPI assigned

Jan 13, 2006

Last updated

Dec 18, 2007By 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 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

• T. W. Ponessa and Associates Counseling

  • Community/Behavioral Health Agency
  • Lancaster, PA
  • NPI 1881144004
  NPD (past)
• T.W. Ponessa & Associates Counseling Services, Inc.

  • Community/Behavioral Health Agency
  • Lancaster, PA
  • NPI 1053341859
  NPD (past)

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197936000000",
    "number": "1720067184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2141 OREGON PIKE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014604",
            "telephone_number": "717-560-7917",
            "fax_number": "717-560-6452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 OREGON PIKE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014604",
            "telephone_number": "717-560-7917",
            "fax_number": "717-560-6452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOERGER",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2007-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS005610L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BS",
            "identifier": "701979",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50035024",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Lynn Bocchino
• Ward Bodnar, LPN
• Daryl George Bodner, M.D.
• Gail Bodner, M.D.
• Rita M Boer, LCSW
• Tyler Bogda, MS
• Janet Bogen, MD
• Adam Boguski
• Damien Boham, CRNA
• Elizabeth Boham, FNP-C

• Psychologist in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.