MICHAEL D BROADWELL PSY.D
NPI 1053645119
Psychologist in Rochester, MN

Active since September 22, 2009
3535 40TH AVE NW STE 210, ROCHESTER, MN 55901(507) 516-0227(507) 516-0228 Get Directions Write a Review

NPPES record last updated: December 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 12, 2022, Aug 23, 2021 (2 updates tracked since 2021).

About Michael D Broadwell Psy.d NPPES

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

MICHAEL D BROADWELL PSY.D (NPI 1053645119) is an individual psychologist in Rochester, Minnesota, licensed in Minnesota (LP6869) and active in the NPI registry since September 2009.

NPPES Registry Identity

NPI1053645119
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameMICHAEL D BROADWELLCredential: PSY.D
Location Address3535 40TH AVE NW STE 210Rochester, MN 55901-1769
Mailing Address3535 40th Ave Nw Ste 210Rochester, MN 55901-1769 · (507) 516-0227 · Fax (507) 516-0228
Fax(507) 516-0228
Sole ProprietorNo
Enumeration DateSeptember 22, 2009
Last NPPES UpdateDecember 12, 20222 updates tracked since enumeration
NPPES CertifiedDecember 12, 2022
NPI 1053645119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MN · LP6869
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.
Also ListedBehavior AnalystTaxonomy 103K00000X
3535 40TH AVE NW STE 210, Rochester, MN 55901

Other Providers at the Same Location NPPES 13

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

Social Worker (Clinical)
3535 40TH AVE NW STE 210
ROCHESTER, MN 55901
Counselor (Professional)
3535 40TH AVE NW STE 210
ROCHESTER, MN 55901
Counselor (Professional)
3535 40TH AVE NW STE 210
ROCHESTER, MN 55901
Counselor (Mental Health)
3535 40TH AVE NW STE 210
ROCHESTER, MN 55901
Counselor (Professional)
3535 40TH AVE NW STE 210
ROCHESTER, MN 55901
Counselor (Professional)
3535 40TH AVE NW STE 210
ROCHESTER, MN 55901
Psychologist (Clinical)
3535 40TH AVE NW STE 210
ROCHESTER, MN 55901
Social Worker (Clinical)
3535 40TH AVE NW STE 210
ROCHESTER, MN 55901

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 Broadwell's NPI number?

The NPI number for Michael Broadwell is 1053645119. It was assigned to this individual provider in the NPPES registry on September 22, 2009.

Where is Michael Broadwell located?

Michael Broadwell practices at 3535 40th Ave NW Ste 210, Rochester, MN 55901. The listed phone number is (507) 516-0227.

What is Michael Broadwell'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 Broadwell was last updated on December 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.