DARRELL BROADDUS PSYCHOLOGICAL SERVICES PC
NPI 1215339650
Psychologist - Clinical in Orangevale, CA

Q: What is Darrell Broaddus Psychological Services PC's specialty?

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

Active since September 17, 2014

6128 VIA PRESIDIO, ORANGEVALE, CA 95662(916) 412-4270 Get Directions Write a Review

NPPES record last updated: September 17, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Darrell Broaddus Psychological Services Pc NPPES

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

DARRELL BROADDUS PSYCHOLOGICAL SERVICES PC (NPI 1215339650) is a healthcare organization registered as a clinical in Orangevale, California and active in the NPI registry since September 2014. The organization lists Darrell Broaddus, Owner/operator, as its authorized official.

NPPES Registry Identity

NPI1215339650

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameDARRELL BROADDUS PSYCHOLOGICAL SERVICES PC

Location Address6128 VIA PRESIDIOOrangevale, CA 95662-4460

Mailing AddressPo Box 750834Forest Hills, NY 11375-0834 · (718) 268-6600 · Fax (718) 268-6065

Phone(916) 412-4270

Organization SubpartNo

Authorized OfficialDarrell BroaddusOwner/operator · (916) 412-4270

Enumeration DateSeptember 17, 2014

✔ NPI 1215339650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

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.

6128 VIA PRESIDIO, Orangevale, CA 95662

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Other Identifiers 1

OtherPSY 20101CA · California License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Darrell Broaddus Psychological Services PC's NPI number?

The NPI number for Darrell Broaddus Psychological Services PC is 1215339650. It was assigned to this organization in the NPPES registry on September 17, 2014.

Where is Darrell Broaddus Psychological Services PC located?

Darrell Broaddus Psychological Services PC is located at 6128 Via Presidio, Orangevale, CA 95662. The listed phone number is (916) 412-4270.

What is Darrell Broaddus Psychological Services PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Darrell Broaddus Psychological Services PC was last updated on September 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.