DR. MICHAEL S. BRODER PH.D.
NPI 1003031154
Psychologist in Philadelphia, PA

Active since April 16, 2007
1420 LOCUST ST, 7G, PHILADELPHIA, PA 19102(215) 545-7000(215) 545-7011 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael S. Broder Ph.d. NPPES

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

DR. MICHAEL S. BRODER PH.D. (NPI 1003031154) is an individual psychologist in Philadelphia, Pennsylvania, licensed in Pennsylvania (PS003069-L) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1003031154
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. MICHAEL S. BRODERCredential: PH.D.
Location Address1420 LOCUST ST, 7GPhiladelphia, PA 19102-4223
Mailing Address1420 Locust St, 7gPhiladelphia, PA 19102-4223 · (215) 545-7000 · Fax (215) 545-7011
Fax(215) 545-7011
Sole ProprietorYes
Enumeration DateApril 16, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1003031154 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 PA · PS003069-L
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.
1420 LOCUST ST, Philadelphia, PA 19102

Other Providers at the Same Location NPPES 10

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

Internal Medicine (Cardiovascular Disease)
1420 LOCUST ST, SUITE 100
PHILADELPHIA, PA 19102
Chiropractor
1420 LOCUST ST
PHILADELPHIA, PA 19102
Chiropractor
1420 LOCUST ST, SUITE R5
PHILADELPHIA, PA 19102
Physician Assistant
1420 LOCUST ST
PHILADELPHIA, PA 19102
Dentist (General Practice)
1420 LOCUST ST, SUITE 120
PHILADELPHIA, PA 19102
Occupational Therapist
1420 LOCUST ST, APT 20J
PHILADELPHIA, PA 19102
Physician Assistant
1420 LOCUST ST
PHILADELPHIA, PA 19102
Nurse Practitioner (Family)
1420 LOCUST ST
PHILADELPHIA, PA 19102

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 Michael Broder's NPI number?

The NPI number for Michael Broder is 1003031154. It was assigned to this individual provider in the NPPES registry on April 16, 2007.

Where is Michael Broder located?

Michael Broder practices at 1420 Locust St 7G, Philadelphia, PA 19102. The listed phone number is (215) 545-7000.

What is Michael Broder's specialty?

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

When was this NPI record last updated?

The NPPES record for Michael Broder was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.