DR. CASEY DAVID BRODHEAD PSY.D.
NPI 1174915086
Psychologist in Walnut Creek, CA

Active since March 02, 2015PECOS Enrolled
710 S BROADWAY, SUITE 364, WALNUT CREEK, CA 94596(925) 295-2987(925) 295-5226 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Casey David Brodhead Psy.d. NPPES

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

DR. CASEY DAVID BRODHEAD PSY.D. (NPI 1174915086) is an individual psychologist in Walnut Creek, California, licensed in California (26824) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174915086
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. CASEY DAVID BRODHEADCredential: PSY.D.
Location Address710 S BROADWAY, SUITE 364Walnut Creek, CA 94596-5294
Mailing Address710 S Broadway, Suite 364Walnut Creek, CA 94596-5294 · (925) 295-2987 · Fax (925) 295-5226
Fax(925) 295-5226
Sole ProprietorNo
Enumeration DateMarch 2, 2015
Last NPPES UpdateJanuary 3, 2022
NPI 1174915086 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 CA · 26824
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.
710 S BROADWAY, Walnut Creek, CA 94596

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Casey David Brodhead Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

Marriage & Family Therapist
710 S BROADWAY
WALNUT CREEK, CA 94596
Psychologist
710 S BROADWAY, SUITE #209
WALNUT CREEK, CA 94596
Psychologist (Clinical)
710 S BROADWAY, SUITE 300
WALNUT CREEK, CA 94596
Social Worker (Clinical)
710 S BROADWAY
WALNUT CREEK, CA 94596
Counselor (Addiction (Substance Use Disorder))
710 S BROADWAY
WALNUT CREEK, CA 94596
Psychologist (Addiction (Substance Use Disorder))
710 S BROADWAY
WALNUT CREEK, CA 94596
Psychologist
710 S BROADWAY
WALNUT CREEK, CA 94596
Health Maintenance Organization
710 S BROADWAY
WALNUT CREEK, CA 94596

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 Casey Brodhead's NPI number?

The NPI number for Casey Brodhead is 1174915086. It was assigned to this individual provider in the NPPES registry on March 2, 2015.

Where is Casey Brodhead located?

Casey Brodhead practices at 710 S Broadway Suite 364, Walnut Creek, CA 94596. The listed phone number is (925) 295-2987.

What is Casey Brodhead's specialty?

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

Is Casey Brodhead enrolled in Medicare?

Yes. Casey Brodhead is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Casey Brodhead was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.