TED BORKSTROM CASAC
NPI 1679868590
Counselor - Addiction (Substance Use Disorder) in Ronkonkoma, NY

Q: What is Ted Borkstrom's NPI number?

The NPI number for Ted Borkstrom is 1679868590. It was assigned to this individual provider in the NPPES registry on June 20, 2011.

Q: What is Ted Borkstrom's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Ted Borkstrom was last updated on June 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.

Active since June 20, 2011

44 5TH ST, RONKONKOMA, NY 11779(631) 413-0597 Get Directions Write a Review

NPPES record last updated: June 20, 2011. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Ted Borkstrom Casac NPPES

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

TED BORKSTROM CASAC (NPI 1679868590) is an individual addiction (substance use disorder) provider in Ronkonkoma, New York and active in the NPI registry since June 2011.

NPPES Registry Identity

NPI1679868590

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameTED BORKSTROMCredential: CASAC

Location Address44 5TH STRonkonkoma, NY 11779-5346

Mailing Address44 5th StRonkonkoma, NY 11779-5346 · (631) 413-0597

Phone(631) 413-0597

Sole ProprietorYes

Enumeration DateJune 20, 2011

✔ NPI 1679868590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

44 5TH ST, Ronkonkoma, NY 11779

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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 Ted Borkstrom's NPI number?

The NPI number for Ted Borkstrom is 1679868590. It was assigned to this individual provider in the NPPES registry on June 20, 2011.

Where is Ted Borkstrom located?

Ted Borkstrom practices at 44 5th St, Ronkonkoma, NY 11779. The listed phone number is (631) 413-0597.

What is Ted Borkstrom's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Ted Borkstrom was last updated on June 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.