Active NPI
Catherine M Borchert, MD
- Psychiatry Physician
- Santa Cruz, CA
National Provider Identifier
1992918692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 963425
- Practice address
- 3333 Mission Drive
Santa Cruz, CA 95065 - Phone
- (831) 475-4975
- Fax
- (831) 479-7005
- NPI assigned
- May 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 963425 | CA | Primary |
Addresses
Primary practice location
3333 Mission Drive
Santa Cruz, CA 95065
Mailing address
3333 Mission Drive
Santa Cruz, CA 95065
Phone (831) 475-4975
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G063425 | Other | CA | MEDICAL BOARD OF CALIFORNIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 13, 2014 through Apr 13, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 963425 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548460800000",
"number": "1992918692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 MISSION DRIVE",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "95065",
"telephone_number": "831-475-4975",
"fax_number": "831-479-7005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 MISSION DRIVE",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "95065",
"telephone_number": "831-475-4975",
"fax_number": "831-479-7005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORCHERT",
"first_name": "CATHERINE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-08",
"last_updated": "2019-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "963425",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL BOARD OF CALIFORNIA",
"identifier": "G063425",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2019; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.