Active NPIOrganization

Broadvistas Psychology LLC

Psychologist, Clinical in Parker, Colorado

NPI Number1679197065
Practice location
12230 Lioness Way, Parker, CO 80134-5603
Fax
877-345-3501
Last updated
January 6, 2023

Broadvistas Psychology LLC is a healthcare organization based in Parker, CO. Broadvistas Psychology LLC practices in Parker, CO. The NPI Number for Broadvistas Psychology LLC is 1679197065. The current practice location address for Broadvistas Psychology LLC is 12230 Lioness Way, Parker, CO 80134-5603 and can be reached out via phone at 888-948-6789 and via fax at 877-345-3501.

Provider Profile Details

NPI Number
1679197065
Provider Name
Broadvistas Psychology LLC
Provider Entity Type
Organization
Address
12230 Lioness Way, Parker, CO 80134-5603
Phone Number
888-948-6789
Fax Number
877-345-3501
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Organization Subpart
No
Authorized Official
Thomas Judson Broadhurst, PSYD · Owner · 303-278-7418
Provider Enumeration Date
June 2, 2020
Last Update Date
January 6, 2023
Certification Date
January 6, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
12230 Lioness Way
Parker, CO 80134-5603
City
Parker
Zip
80134-5603
Phone Number
888-948-6789
Fax Number
877-345-3501
Parker, CO 80134Get directions →

Provider Business Mailing Address Details

Address
1 Kalisa Way Ste 101
Paramus, NJ 07652-3508
City
Paramus
State
NJ
Zip
07652-3508
Phone Number
888-948-6789
Fax Number
877-345-3501

License Information

Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Broadvistas Psychology LLC?

The NPI number of Broadvistas Psychology LLC is 1679197065. It was assigned on June 2, 2020 and is currently active in the NPPES registry.

What is the specialty of Broadvistas Psychology LLC?

Broadvistas Psychology LLC is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X).

Where does Broadvistas Psychology LLC practice?

The practice location is 12230 Lioness Way, Parker, CO 80134-5603. The office can be reached at 888-948-6789 (phone) or 877-345-3501 (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 1679197065 directly on the NPPES registry website.

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