Individual provider Active NPI

Linda Simone Borson, M.ED.

  • Psychologist
  • Broomall, PA
National Provider Identifier
1962470179
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS-004143-L Issued in PA
Practice address
101 Cambridge Rd
Broomall, PA 19008-3309
Phone
(610) 356-0462
Fax
(610) 595-6273
NPI assigned
Mar 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS-004143-L PA Primary

Addresses

Primary practice location

101 Cambridge Rd
Broomall, PA 19008-3309

Mailing address

101 Cambridge Rd
Broomall, PA 19008-3309
Phone (610) 356-0462

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)
Enrolled
Credentials
Master of Engineering, Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew J. Borson Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1962470179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CAMBRIDGE RD",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190083309",
            "telephone_number": "610-356-0462",
            "fax_number": "610-595-6273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CAMBRIDGE RD",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190083309",
            "telephone_number": "610-356-0462",
            "fax_number": "610-595-6273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORSON",
        "first_name": "LINDA",
        "middle_name": "SIMONE",
        "credential": "M.ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS-004143-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomall, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.