Marisa Borgert, Psy.D., LLC
NPI 1780136267ActiveOrganization· Psychologist, Clinical· Dayton, OH
Psychologist, Clinical in Dayton, Ohio, registered in NPPES in October 2016. The authorized official on file is Marisa Christin Borgert, PSY.D., Clinical Psychologist/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1780136267 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 31, 2016 |
| Last updated in NPPES | Feb 10, 2025 |
| Certified by provider | Feb 10, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 6814 | OH |
| Counselor, Mental Health | 101YM0800X | — | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OH) |
|---|
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