PATRICIA MCCARTHY BRODERICK PHD, LPC
NPI 1295075695
Counselor - Professional in Leesburg, VA
About Patricia Mccarthy Broderick Phd, Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PATRICIA MCCARTHY BRODERICK PHD, LPC (NPI 1295075695) is an individual professional provider in Leesburg, Virginia, licensed in Virginia (0701004934) and active in the NPI registry since February 2013. She has opted out of Medicare through January 1, 2028.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Patricia Mccarthy Broderick Phd, Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LEESBURG, VA 20176
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 Patricia Broderick's NPI number?
The NPI number for Patricia Broderick is 1295075695. It was assigned to this individual provider in the NPPES registry on February 21, 2013. The provider is also known as Patricia Lea Mccarthy.
Where is Patricia Broderick located?
Patricia Broderick practices at 21 Fort Evans Rd NE Ste B, Leesburg, VA 20176. The listed phone number is (703) 443-6917.
What is Patricia Broderick's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Patricia Broderick enrolled in Medicare?
No. Patricia Broderick has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Patricia Broderick was last updated on June 1, 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.
# Patricia Mccarthy Broderick, PHD, LPC · NPI 1295075695
Professional provider in Leesburg, Virginia. Individual provider, active in the CMS NPPES registry since February 21, 2013.
## Identity
- **NPI:** 1295075695 (Entity type: Individual)
- **Enumerated:** February 21, 2013
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 0701004934 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 21 FORT EVANS RD NE STE B, Leesburg, VA 20176-4488
- **Phone:** (703) 443-6917
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 1, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** June 1, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1295075695) · Data from the CMS NPPES public registry.