Active NPI
Kristin Borrelli, PSY.D.
- Clinical Psychologist
- Nicholasville, KY
National Provider Identifier
1780093609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2014-34
- Practice address
- 2513 Bethel Rd
Nicholasville, KY 40356 - Phone
- (703) 615-5141
- NPI assigned
- Aug 5, 2014
- Last updated
- Aug 5, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2014-34 | KY | Primary |
Addresses
Primary practice location
2513 Bethel Rd
Nicholasville, KY 40356
Mailing address
501 Darby Creek Rd.
Suite 16
Lexington, KY 40509
Phone (703) 615-5141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2014-34 | KY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407196800000",
"number": "1780093609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 DARBY CREEK RD.",
"address_2": "SUITE 16",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "40509",
"telephone_number": "703-615-5141",
"fax_number": "859-268-2472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2513 BETHEL RD",
"city": "NICHOLASVILLE",
"state": "KY",
"postal_code": "40356",
"telephone_number": "703-615-5141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORRELLI",
"first_name": "KRISTIN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-05",
"last_updated": "2014-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KY",
"license": "2014-34",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nicholasville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.