Active NPI
John Borgen, PSY.D.
- Clinical Psychologist
- Schofield, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 5380-57
- Practice address
- 1699 Schofield Ave Ste 120
Schofield, WI 54476-2332 - Phone
- (402) 559-8863
- Fax
- (402) 559-5737
- NPI assigned
- Aug 26, 2014
- Last updated
- Aug 19, 2025
- Sex
- Male
- 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 | 5380-57 | WI | Primary |
Addresses
Primary practice location
1699 Schofield Ave Ste 120
Schofield, WI 54476-2332
Mailing address
PO Box 356
Amherst, WI 54406-0356
Phone (715) 869-1718
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
222 Christy St
Amherst, WI 54406-9390
Phone (715) 907-1880
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Wisconsin Mental Health Associates, SC | Current | Accepting new patients |
Locations
1699 Schofield Ave
Ste 119120
Schofield, WI 54476
Phone (715) 297-9138
1699 Schofield Ave
Ste 120
Schofield, WI 54476
Phone (402) 559-8863
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Schofield, WI
- NPI 1174279533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755561600000",
"number": "1861892945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 356",
"city": "AMHERST",
"state": "WI",
"postal_code": "544060356",
"telephone_number": "715-869-1718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1699 SCHOFIELD AVE STE 120",
"city": "SCHOFIELD",
"state": "WI",
"postal_code": "544762332",
"telephone_number": "402-559-8863",
"fax_number": "402-559-5737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORGEN",
"first_name": "JOHN",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-08-26",
"last_updated": "2025-08-19",
"certification_date": "2025-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WI",
"license": "5380-57",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Schofield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; 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.