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MARIE CLAIRE RODERICK PSYD LLC
NPI 1174246466
Clinic/Center - Adult Mental Health in Broomfield, CO

Active since September 21, 2022
12591 WHIPPOORWILL ST, BROOMFIELD, CO 80020(571) 276-8939 Get Directions Write a Review

NPPES record last updated: October 17, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 17, 2022, Oct 5, 2022, Sep 21, 2022 (3 updates tracked since 2022).

About Marie Claire Roderick Psyd Llc NPPES

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

MARIE CLAIRE RODERICK PSYD LLC (NPI 1174246466) is a healthcare organization registered as an adult mental health in Broomfield, Colorado and active in the NPI registry since September 2022. The organization maintains a secondary practice location in Highlands Ranch and lists Marie Claire Roderick, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1174246466
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameMARIE CLAIRE RODERICK PSYD LLC
Location Address12591 WHIPPOORWILL STBroomfield, CO 80020-7919
Mailing AddressPo Box 756Broomfield, CO 80038-0756 · (571) 234-8106
Phone(571) 276-8939
Organization SubpartNo
Authorized OfficialMarie Claire RoderickClinical Psychologist · (571) 234-8106
Enumeration DateSeptember 21, 2022
Last NPPES UpdateOctober 17, 20223 updates tracked since enumeration
NPPES CertifiedOctober 17, 2022
✔ NPI 1174246466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
12591 WHIPPOORWILL ST, Broomfield, CO 80020
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Secondary Practice Location 1

Location 12522 Rockbridge DrHighlands Ranch, CO 80129-2223 · Phone (571) 276-8939

Other Identifiers 3

Other1851750376MD · Npi Individual Number
Other0810005301VA · Va State License To Practice As A Clinical Psychologist
Other0005553CO · State Of Colorado State License To Practice Clinical Psychology

Other Providers at the Same Location NPPES

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

DR. MARIE CLAIRE RODERICK PSYD
Psychologist
12591 WHIPPOORWILL ST
BROOMFIELD, CO 80020
Broomfield County (571) 276-8939

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 Marie Claire Roderick Psyd LLC's NPI number?

The NPI number for Marie Claire Roderick Psyd LLC is 1174246466. It was assigned to this organization in the NPPES registry on September 21, 2022.

Where is Marie Claire Roderick Psyd LLC located?

Marie Claire Roderick Psyd LLC is located at 12591 Whippoorwill St, Broomfield, CO 80020. The listed phone number is (571) 276-8939.

What is Marie Claire Roderick Psyd LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Marie Claire Roderick Psyd LLC was last updated on October 17, 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.