DARRELL L. BROADDUS PH.D.
NPI 1265616973
Psychologist - Clinical in La Mesa, CA

Q: What is Darrell Broaddus's NPI number?

The NPI number for Darrell Broaddus is 1265616973. It was assigned to this individual provider in the NPPES registry on December 18, 2007.

Q: What is Darrell Broaddus's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Darrell Broaddus was last updated on December 18, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since December 18, 2007

8029 LA MESA BLVD, SUITE A, LA MESA, CA 91941(619) 668-0600(619) 466-2662 Get Directions Write a Review

NPPES record last updated: December 18, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Darrell L. Broaddus Ph.d. NPPES

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

DARRELL L. BROADDUS PH.D. (NPI 1265616973) is an individual clinical provider in La Mesa, California, licensed in California (PSY 20101) and active in the NPI registry since December 2007.

NPPES Registry Identity

NPI1265616973

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDARRELL L. BROADDUSCredential: PH.D.

Location Address8029 LA MESA BLVD, SUITE ALa Mesa, CA 91941-6434

Mailing Address6461 Aspen Gardens WayCitrus Heights, CA 95621-5626 · (916) 705-7388

Phone(619) 668-0600

Fax(619) 466-2662

Sole ProprietorYes

Enumeration DateDecember 18, 2007

✔ NPI 1265616973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY 20101

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.

8029 LA MESA BLVD, La Mesa, CA 91941

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, UnitedHealthcare.Insurance ›

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.

CAROL N. ARPACI PSY.D.

Psychologist (Clinical)

8029 LA MESA BLVD
LA MESA, CA 91941

San Diego County (619) 668-0600

GEORGE DANIEL VENABLE PH.D.

Psychologist (Clinical)

8029 LA MESA BLVD
LA MESA, CA 91941

San Diego County (800) 424-2686

DR. CHARLES ROBERT BILBREY III PH.D.

Psychologist (Clinical)

8029 LA MESA BLVD
LA MESA, CA 91941

San Diego County (800) 424-2686

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's NPI number?

The NPI number for Darrell Broaddus is 1265616973. It was assigned to this individual provider in the NPPES registry on December 18, 2007.

Where is Darrell Broaddus located?

Darrell Broaddus practices at 8029 La Mesa Blvd Suite A, La Mesa, CA 91941. The listed phone number is (619) 668-0600.

What is Darrell Broaddus's specialty?

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

What insurance does Darrell Broaddus accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and UnitedHealthcare list Darrell Broaddus as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Darrell Broaddus was last updated on December 18, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.