Individual provider Active NPI

John Borgen, PSY.D.

  • Clinical Psychologist
  • Schofield, WI
National Provider Identifier
1861892945
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5380-57 Issued in WI
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250905001282 WI Practitioner - Clinical Psychologist 3375045701 Reassigns benefits to 1 organization

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
Central Wisconsin Mental Health Associates, SCGroup PAC ID 7012437510, 6 clinicians

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

OrganizationSpecialtyStatusNew patients
Central Wisconsin Mental Health Associates, SC CurrentSince Sep 1, 2025 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.

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

Verify at the official NPI Registry.