MARTHA BORDWELL PHD
NPI 1821169962
Counselor - Mental Health in Brooklyn Center, MN

Active since November 12, 2006
5615 BROOKLYN BLVD, SUITE 105, BROOKLYN CENTER, MN 55429(763) 531-0566(763) 531-0602 Get Directions Write a Review

NPPES record last updated: September 2, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Martha Bordwell Phd NPPES

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

MARTHA BORDWELL PHD (NPI 1821169962) is an individual mental health provider in Brooklyn Center, Minnesota, licensed in Minnesota (LP2322) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1821169962
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARTHA BORDWELLCredential: PHD
Location Address5615 BROOKLYN BLVD, SUITE 105Brooklyn Center, MN 55429-3000
Mailing Address5615 Brooklyn Blvd, Suite 105Brooklyn Center, MN 55429-3000 · (763) 531-0566 · Fax (763) 531-0602
Fax(763) 531-0602
Sole ProprietorNo
Enumeration DateNovember 12, 2006
Last NPPES UpdateSeptember 2, 2008
NPI 1821169962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in MN · LP2322
5615 BROOKLYN BLVD, Brooklyn Center, MN 55429

Other Identifiers 6

OtherHP35967MN · Healthpartners
Other68831BOMN · Bluecrossblueshield
Medicare ID-Type Unspecified680000295MN
Medicaid993552500MN
Other61-20302MN · Medica
Other102392MN · Ucare

Other Providers at the Same Location NPPES 3

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

Counselor (Mental Health)
5615 BROOKLYN BLVD, SUITE 105
BROOKLYN CENTER, MN 55429
Chiropractor
5615 BROOKLYN BLVD, SUITE 205
BROOKLYN CENTER, MN 55429
Community/Behavioral Health
5615 BROOKLYN BLVD
BROOKLYN CENTER, MN 55429

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 Martha Bordwell's NPI number?

The NPI number for Martha Bordwell is 1821169962. It was assigned to this individual provider in the NPPES registry on November 12, 2006.

Where is Martha Bordwell located?

Martha Bordwell practices at 5615 Brooklyn Blvd Suite 105, Brooklyn Center, MN 55429. The listed phone number is (763) 531-0566.

What is Martha Bordwell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Martha Bordwell was last updated on September 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.