DR. JOELLE I. BROFFMAN PSYD
NPI 1023660552
Psychologist - Clinical in Mountain View, CA

Q: What is Joelle Broffman's NPI number?

The NPI number for Joelle Broffman is 1023660552. It was assigned to this individual provider in the NPPES registry on July 15, 2019.

Q: What is Joelle Broffman's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Joelle Broffman enrolled in Medicare?

No. Joelle Broffman has opted out of Medicare through January 31, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Joelle Broffman was last updated on February 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 July 15, 2019Opted out of Medicare · through Jan 31, 2027

2400 GRANT RD FL 2, MOUNTAIN VIEW, CA 94040(408) 866-3802 Get Directions Write a Review

NPPES record last updated: February 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Joelle I. Broffman Psyd NPPES

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

DR. JOELLE I. BROFFMAN PSYD (NPI 1023660552) is an individual clinical provider in Mountain View, California, licensed in California (30413) and active in the NPI registry since July 2019. She has opted out of Medicare through January 31, 2027.

NPPES Registry Identity

NPI1023660552

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JOELLE I. BROFFMANCredential: PSYD

Location Address2400 GRANT RD FL 2Mountain View, CA 94040-4301

Mailing Address2400 Grant Rd Fl 2Mountain View, CA 94040-4301 · (408) 866-3802

Phone(408) 866-3802

Sole ProprietorNo

Enumeration DateJuly 15, 2019

Last NPPES UpdateFebruary 26, 2024

NPPES CertifiedFebruary 26, 2024

✔ NPI 1023660552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · 30413

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedClinical NeuropsychologistTaxonomy 103G00000X · License 30413 (CA)

2400 GRANT RD FL 2, Mountain View, CA 94040

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Joelle I. Broffman Psyd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 31, 2025 through January 31, 2027.

Opt-Out Effective DateJanuary 31, 2025

Opt-Out In Effect ThroughJanuary 31, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

HARRY NGUYEN DPT

Physical Therapist

2400 GRANT RD FL 2
MOUNTAIN VIEW, CA 94040

Santa Clara County (650) 940-7285

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 Joelle Broffman's NPI number?

The NPI number for Joelle Broffman is 1023660552. It was assigned to this individual provider in the NPPES registry on July 15, 2019.

Where is Joelle Broffman located?

Joelle Broffman practices at 2400 Grant Rd Fl 2, Mountain View, CA 94040. The listed phone number is (408) 866-3802.

What is Joelle Broffman's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Joelle Broffman enrolled in Medicare?

No. Joelle Broffman has opted out of Medicare through January 31, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Joelle Broffman was last updated on February 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.