DR. NICHOLAS J.K. BREITBORDE PH.D.
NPI 1225363849
Psychologist in Columbus, OH

Active since October 15, 2009PECOS Enrolled
1670 UPHAM DR FL 3, COLUMBUS, OH 43210(614) 293-9600(614) 366-1215 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 5, 2026, Dec 3, 2024, Dec 28, 2020 and 1 more (4 updates tracked since 2017).

About Dr. Nicholas J.k. Breitborde Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NICHOLAS J.K. BREITBORDE PH.D. (NPI 1225363849) is an individual psychologist in Columbus, Ohio, licensed in Ohio (P.7267) and active in the NPI registry since October 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225363849
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. NICHOLAS J.K. BREITBORDECredential: PH.D.
Location Address1670 UPHAM DR FL 3Columbus, OH 43210-1250
Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 293-9600 · Fax (614) 366-1215
Fax(614) 366-1215
Sole ProprietorNo
Enumeration DateOctober 15, 2009
Last NPPES UpdateMay 5, 20264 updates tracked since enumeration
NPPES CertifiedMay 5, 2026
NPI 1225363849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in OH · P.7267
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1670 UPHAM DR FL 3, Columbus, OH 43210

Other Names 1

Other Name (5)Nicholas Breitborde

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Nicholas J.k. Breitborde Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
1670 UPHAM DR FL 3
COLUMBUS, OH 43210
Psychologist
1670 UPHAM DR FL 3
COLUMBUS, OH 43210
Psychiatry & Neurology (Psychiatry)
1670 UPHAM DR FL 3
COLUMBUS, OH 43210
Psychologist
1670 UPHAM DR FL 3
COLUMBUS, OH 43210
Psychologist (Clinical)
1670 UPHAM DR FL 3
COLUMBUS, OH 43210
Nurse Practitioner (Psychiatric/Mental Health)
1670 UPHAM DR FL 3
COLUMBUS, OH 43210
Psychiatry & Neurology (Psychiatry)
1670 UPHAM DR FL 3
COLUMBUS, OH 43210
Psychiatry & Neurology (Psychiatry)
1670 UPHAM DR FL 3
COLUMBUS, OH 43210

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicholas Breitborde's NPI number?

The NPI number for Nicholas Breitborde is 1225363849. It was assigned to this individual provider in the NPPES registry on October 15, 2009.

Where is Nicholas Breitborde located?

Nicholas Breitborde practices at 1670 Upham Dr Fl 3, Columbus, OH 43210. The listed phone number is (614) 293-9600.

What is Nicholas Breitborde's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Nicholas Breitborde enrolled in Medicare?

Yes. Nicholas Breitborde is registered in the Medicare PECOS enrollment system.

What insurance does Nicholas Breitborde accept?

Health plans from CareSource and Molina Healthcare list Nicholas Breitborde as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicholas Breitborde was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.