Elizabeth W. Borg PHD DSC PC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

6301008127 Issued in MI

Legal business name

ELIZABETH W. BORG PHD DSC PC

Practice address

580 Forest Ave Ste 1B
Plymouth, MI 48170-1780

Phone

(734) 453-2207

NPI assigned

Sep 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth W Borg, PH.D.NPI 1952420168

Title

Clinical Psychologist

Phone

(734) 453-2207

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth W. Borg, PH.D.

  • Clinical Psychologist
  • Plymouth, MI
  • NPI 1952420168
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189123200000",
    "number": "1871788331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6426 KINGS MILL CT",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481875480",
            "telephone_number": "734-453-2207",
            "fax_number": "734-453-8415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 FOREST AVE STE 1B",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701780",
            "telephone_number": "734-453-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH W. BORG PHD DSC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2007-09-07",
        "status": "A",
        "authorized_official_last_name": "BORG",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "734-453-2207",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MI",
            "license": "6301008127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI--SOLE PROVIDER NUMBER",
            "identifier": "1952420168",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Baraa Elahmad
• Mariam Elaroud
• Zeinab Elcheikhali
• Jordan Eliason
• Elite Medical Staffing
• Ellen M. Rotblatt, M.D., P.C.
• Kristi J Eller
• Allyson Elliott
• Shane Elliott
• Tonya Elliott

• Adult Mental Health Clinic/Center in Plymouth, MI
• Providers in Plymouth, MI by specialty
• Adult Mental Health Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.