Active NPI
Zachary Alexander Borynack, PHD
- Clinical Psychologist
- Dallas, TX
National Provider Identifier
1922118751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 32829
- Practice address
- 4514 Cole Ave
Suite 807
Dallas, TX 75205-5412 - Phone
- (214) 263-7386
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 32829 | TX | Primary |
Addresses
Primary practice location
4514 Cole Ave
Suite 807
Dallas, TX 75205-5412
Mailing address
15051 Alstone Drive
Frisco, TX 75035
Phone (214) 263-7386
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0098MX | Other | BCBS | |
| 267332 | Other | COM PSYCH | |
| 579498 | Other | TX | VALUE OPTIONS |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32829 | TX | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256083200000",
"number": "1922118751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15051 ALSTONE DRIVE",
"city": "FRISCO",
"state": "TX",
"postal_code": "75035",
"telephone_number": "214-263-7386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4514 COLE AVE",
"address_2": "SUITE 807",
"city": "DALLAS",
"state": "TX",
"postal_code": "752055412",
"telephone_number": "214-263-7386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORYNACK",
"first_name": "ZACHARY",
"middle_name": "ALEXANDER",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2009-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "32829",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0098MX",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COM PSYCH",
"identifier": "267332",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "579498",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.