DR. AMY BORGMAN (PH.D.) – Psychologist, NPI 1447291687

DR. AMY BORGMAN (PH.D.) is a healthcare provider. based in Traverse city, Michigan. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 6301013101 (MI). The NPI Number for DR. AMY BORGMAN (PH.D.) is 1447291687

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. AMY BORGMAN (PH.D.)
NPI
1447291687
Phone
(616) 901-8767
Address
697 HANNAH AVE
Enumeration Date
9 June 2006
Last Update Date
20 February 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6169018767
Graduation Year
2005 (21 years ago)
PAC ID
8426079237
Professional Enrollment ID
I20080818000188
Address ID
MI496863399TR697XXAVEX304
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,216 CLINICAL PSYCHOLOGIST in MI

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Provider Addresses for DR. AMY BORGMAN (PH.D.)

  • 697, Hannah Avenue, Traverse Heights, Traverse City, Grand Traverse County, Michigan, 49686, United States

    STE D

    TRAVERSE CITY, MI 496863399

    Phone: (616) 901-8767

    Fax: (844) 218-1127

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-08-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080818000188IClinical PsychologistMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49686)

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Reviews

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Frequently asked questions

Can I use this page to confirm DR. AMY BORGMAN (PH.D.)'s NPI?
Yes. DR. AMY BORGMAN (PH.D.) is listed with NPI 1447291687 in the public NPI dataset.
Is DR. AMY BORGMAN (PH.D.) listed as active for patients and plans?
The listing shows DR. AMY BORGMAN (PH.D.) as active in the NPI system.
What is DR. AMY BORGMAN (PH.D.)'s primary classification?
Psychologist is the headline specialty for DR. AMY BORGMAN (PH.D.) here. Clinical services aligned with this taxonomy classification.
Does DR. AMY BORGMAN (PH.D.) list a practice location?
Patients near Traverse City, Michigan may find DR. AMY BORGMAN (PH.D.) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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