DR. MARIAN JUDITH BROADUS PH. D.
NPI 1194781765
Psychologist in Lexington, KY

Active since April 24, 2006PECOS Enrolled
436 W 2ND ST, LEXINGTON, KY 40507(859) 231-7137(859) 253-0098 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Marian Judith Broadus Ph. D. NPPES

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

DR. MARIAN JUDITH BROADUS PH. D. (NPI 1194781765) is an individual psychologist in Lexington, Kentucky, licensed in Kentucky (834) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194781765
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. MARIAN JUDITH BROADUSCredential: PH. D.
Location Address436 W 2ND STLexington, KY 40507-1040
Mailing Address436 W 2nd StLexington, KY 40507-1040 · (859) 231-7137 · Fax (859) 253-0098
Fax(859) 253-0098
Sole ProprietorNo
Enumeration DateApril 24, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1194781765 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 KY · 834
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.

436 W 2ND ST, Lexington, KY 40507

Other Identifiers 1

Medicare PINCP00050KY

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. Marian Judith Broadus Ph. 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 3

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

Social Worker (Clinical)
436 W 2ND ST
LEXINGTON, KY 40507
Psychiatry & Neurology (Psychosomatic Medicine)
436 W 2ND ST
LEXINGTON, KY 40507
Registered Nurse
436 W 2ND ST
LEXINGTON, KY 40507

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 Marian Broadus's NPI number?

The NPI number for Marian Broadus is 1194781765. It was assigned to this individual provider in the NPPES registry on April 24, 2006.

Where is Marian Broadus located?

Marian Broadus practices at 436 W 2nd St, Lexington, KY 40507. The listed phone number is (859) 231-7137.

What is Marian Broadus's specialty?

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

Is Marian Broadus enrolled in Medicare?

Yes. Marian Broadus is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marian Broadus was last updated on July 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.