Jonathan M Borkum, PHD

Primary specialty

Health Service PsychologistTaxonomy code 103TH0100X

License

PS991 Issued in ME

Practice address

2 Big Sky LN
Waterville, ME 04901-4340

Phone

(207) 872-5800

Fax

(207) 872-5888

NPI assigned

Aug 21, 2006

Last updated

May 6, 2021By 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

Enrolled in ME

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

Specialty

Clinical Psychologist

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Health Psych Maine LLCGroup PAC ID 9739513219, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Health Psych Maine LLC

  dba Health Psych Maine

  • Health Service Psychologist
  • Waterville, ME
  • NPI 1881231553
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1881709426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BIG SKY LN",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014340",
            "telephone_number": "207-872-5800",
            "fax_number": "207-872-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BIG SKY LN",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014340",
            "telephone_number": "207-872-5800",
            "fax_number": "207-872-5888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1012 Union St",
            "address_purpose": "LOCATION",
            "city": "Bangor",
            "state": "ME",
            "postal_code": "044013060",
            "country_code": "US",
            "telephone_number": "207-404-8100",
            "fax_number": "207-947-0435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORKUM",
        "first_name": "JONATHAN",
        "middle_name": "M",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "ME",
            "license": "PS991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "295420099",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP # MEDICARE",
            "identifier": "MM9086",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Eugene Bolduc, M.D.
• Ashleigh Bryanna Bone, LCPC-C
• John Kent Bonney, MD
• Theresa Marie Bonsey, R.PH., M.P.H, BCPS
• Mary Anne F Booth, M.A., CCC-A
• Jon E Boschen, LCSW
• Bosse Family Chiropractic & Wellness, P.a.
• Bouchard Physical Therapy Services Inc
• Susan A Bouchard, DSW, MSW
• Kaitlyn Boudreau, LCSW

• Health Service Psychologist in Waterville, ME
• Providers in Waterville, ME by specialty
• Health Service Psychologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; 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.

Verify at the official NPI Registry.