BRECK BORCHERDING (NPI# 1033111364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033111364 |
| Entity Type | Individual |
| Full Name | BRECK BORCHERDING |
| Credential | M.D. |
| Practice Address |
170 Thomas Johnson Dr Ste 200 Frederick MD 21702-6200 |
| Practice Telephone | 3016958390 |
| Practice Fax Number | 3016947906 |
| Mailing Telephone | 3016958390 |
| Mailing Fax Number | 3016947906 |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
D0034297 | MD | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | MAMSI | 239124 | 01 |
| MD | MAMSI | 439124 | 01 |
| Street Address |
170 THOMAS JOHNSON DR STE 200 |
| City | FREDERICK |
| State | MD |
| Zip Code | 21702-6200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316949647 | Thomas Pollack | Psychologist | 170 Thomas Johnson Dr, Ste 200, Frederick, MD 21702-6200 | 2005-05-31 |
| 1114583093 | Tiffany Reynolds | Nurse Practitioner | 170 Thomas Johnson Dr, Frederick, MD 21702-4354 | 2019-05-15 |
| 1497149058 | Jennifer Maybell Atwell | Social Worker | 170 Thomas Johnson Dr, #200, Frederick, MD 21702-4354 | 2015-03-22 |
| 1871852806 | Nisenfeld & Chilton, Md, Pa | Physical Therapist | 170 Thomas Johnson Dr, Ste. 102, Frederick, MD 21702-4354 | 2012-05-11 |
| 1558643783 | Lee Culp Henry | Social Worker | 170 Thomas Johnson Dr, Suite 200, Frederick, MD 21702-4354 | 2011-09-14 |
| 1760661854 | Jeffrey Varyck Mendell | Psychiatry & Neurology | 170 Thomas Johnson Dr, Suite 200, Frederick, MD 21702-4354 | 2007-10-25 |
| 1013113505 | Michael W. Stern | Social Worker | 170 Thomas Johnson Dr, Ste 200, Frederick, MD 21702-4354 | 2007-06-22 |
| 1104977149 | Caroline Nichols | Physical Therapist | 170 Thomas Johnson Dr, Frederick, MD 21702-4354 | 2007-01-16 |
| 1902990682 | Physiotherapy Associates Inc | Clinic/Center | 170 Thomas Johnson Dr, Suite 104, Frederick, MD 21702-4354 | 2006-10-03 |
| 1518927094 | Cynthia Susan Keysor | Psychologist | 170 Thomas Johnson Dr, Frederick, MD 21702-4354 | 2006-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129714 | Rita Akowuah | Nurse Practitioner | 1302 Baker Place East Apt 14, Frederick, MD 21702 | 2020-09-18 |
| 1912416272 | Morgan Nicely | Behavior Technician | 65 Thomas Johnson Drive Suite A, Frederick, MD 21702 | 2017-09-29 |
| 1154840494 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 184 Thomas Johnson Dr Ste 104, Frederick, MD 21702 | 2017-09-19 |
| 1831617471 | Hazel Elizabeth Gill | Physical Therapy Assistant | 2007 Butterfield Overlook, Frederick, MD 21702 | 2017-09-05 |
| 1831610161 | William Haynes | Nurse Practitioner | 103 Water Land Ct., Frederick, MD 21702 | 2017-06-27 |
| 1497299333 | Timothy Stimach | Pharmacist | 1430b W Patrick St, Frederick, MD 21702 | 2016-12-12 |
| 1184167405 | Maryland Nutrition and Diet Services, L.L.C. | Dietitian, Registered | 1301 W. 7th Street, No. 1607, Frederick, MD 21702 | 2016-11-18 |
| 1649649468 | Oluwakemi Olubunmi Osidele | Nurse Practitioner | 188 Thomas Johnson Dr Ste 102, Frederick, MD 21702 | 2015-09-22 |
| 1841678562 | Ventzislava Hristova | Spec/Tech, Pathology | 1050 Boyles St. Building 560 Room 12-39, National Cancer Institute - Frederick, Frederick, MD 21702 | 2015-05-14 |
| 1023404571 | Mychal Lynn Pilia | Advanced Practice Midwife | 7420 Hayward Road, Suite 104, Frederick, MD 21702 | 2015-04-11 |
| Find all providers in zip 21702 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169548 | Bradley Shearer | Counselor | 6087 Flagstone Ct, Frederick, MD 21701-5847 | 2020-09-23 |
| 1144853847 | Caroline Carey | Counselor | 6540 Newton Dr, Frederick, MD 21703-2747 | 2020-02-20 |
| 1093377525 | James Robert Rose | Counselor | 31 W Patrick St Apt 401, Frederick, MD 21701-5563 | 2019-07-04 |
| 1679059562 | David Sherwin | Counselor | 205 Broadway St Fl 2, Frederick, MD 21701-6501 | 2018-07-14 |
| 1689198558 | Marion Elizabeth Toscano | Counselor | 226 South Jefferson Street, Frederick, MD 31701 | 2017-08-01 |
| 1851828826 | Christina L Poff-long | Counselor | 1003 W 7th St Ste 200, Frederick, MD 21701-4106 | 2017-05-21 |
| 1215461397 | Carter Caring Counseling | Counselor | 721 Holden Rd, Frederick, MD 21701-3406 | 2017-04-17 |
| 1184165904 | Frederick Center for Marriage and Family Therapy, LLC | Counselor | 129 E Patrick St # 25, Frederick, MD 21701-6172 | 2017-03-13 |
| 1073052593 | Nicole Lynn Simpson | Counselor | 5479 Shoshone Dr, Frederick, CO 80504-5815 | 2017-02-16 |
| 1578016473 | Jennifer Tibbs | Counselor | 6721 Sandpiper Ct, Frederick, MD 21703-7178 | 2016-07-27 |
| Find all providers in FREDERICK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.