Mark R Boroski, LMFT, LADC, MA, BS
Marriage & Family Therapist in New Haven, Connecticut
1841672821- Practice location
- 400 Columbus Avenue, Adult Psychiatric Clinic, New Haven, CT 06519-1233
- Phone
- 203-503-3075
- Fax
- 203-503-3296
- Last updated
- March 17, 2018
Mark R Boroski is a Marriage & Family Therapist based in New Haven, CT. Mark R Boroski practices in New Haven, CT and has the professional credentials of LMFT, LADC, MA, BS. The NPI Number for Mark R Boroski is 1841672821 and holds a License No. 1194 (CT). The current practice location address for Mark R Boroski is 400 Columbus Avenue, Adult Psychiatric Clinic, New Haven, CT 06519-1233 and can be reached out via phone at 203-503-3075 and via fax at 203-503-3296.
Provider Profile Details
- NPI Number
- 1841672821
- Provider Name
- Mark R Boroski
- Credential
- LMFT, LADC, MA, BS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 400 Columbus Avenue, Adult Psychiatric Clinic, New Haven, CT 06519-1233
- Phone Number
- 203-503-3075
- Fax Number
- 203-503-3296
- Primary Taxonomy
- Marriage & Family Therapist · 106H00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 25, 2015
- Last Update Date
- March 17, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 400 Columbus Avenue
Adult Psychiatric Clinic
New Haven, CT 06519-1233 - City
- New Haven
- State
- Connecticut
- Zip
- 06519-1233
- Phone Number
- 203-503-3075
- Fax Number
- 203-503-3296
Provider Business Mailing Address Details
- Address
- Po Box 7720
Credentialing Specialist
New Haven, CT 06519-0720 - City
- New Haven
- State
- CT
- Zip
- 06519-0720
- Phone Number
- 203-503-3174
- Fax Number
- 203-503-3183
License Information
- License Number (1)
- 1194
- License State (1)
- CT
- Taxonomy (1)
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- License Number (2)
- 1951
- License State (2)
- CT
- Taxonomy (2)
- Marriage & Family Therapist · 106H00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mark R Boroski, LMFT, LADC, MA, BS?
The NPI number of Mark R Boroski, LMFT, LADC, MA, BS is 1841672821. It was assigned on June 25, 2015 and is currently active in the NPPES registry.
What is the specialty of Mark R Boroski, LMFT, LADC, MA, BS?
Mark R Boroski, LMFT, LADC, MA, BS is registered under the primary taxonomy Marriage & Family Therapist (code 106H00000X), licensed in CT under license number 1194.
Where does Mark R Boroski, LMFT, LADC, MA, BS practice?
The practice location is 400 Columbus Avenue, Adult Psychiatric Clinic, New Haven, CT 06519-1233. The office can be reached at 203-503-3075 (phone) or 203-503-3296 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1841672821 directly on the NPPES registry website.