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RUSTY BRODERICK
NPI 1346430014
Counselor - Addiction (Substance Use Disorder) in Skyforest, CA

Active since July 30, 2007
28545 HIGHWAY 18, SKYFOREST, CA 92385(909) 336-1800 Get Directions Write a Review

NPPES record last updated: July 30, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rusty Broderick NPPES

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

RUSTY BRODERICK (NPI 1346430014) is an individual addiction (substance use disorder) provider in Skyforest, California, licensed in California (RI-B0508181010) and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1346430014
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameRUSTY BRODERICK
Location Address28545 HIGHWAY 18Skyforest, CA 92385-0578
Mailing AddressPo Box 578Skyforest, CA 92385-0578
Phone(909) 336-1800
Sole ProprietorNo
Enumeration DateJuly 30, 2007
✔ NPI 1346430014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · RI-B0508181010
28545 HIGHWAY 18, Skyforest, CA 92385
Open in Google Maps ↗

Other Identifiers 1

Other3595CA · Simon

Other Providers at the Same Location NPPES 12

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

JOSEPH JENKINS
Counselor (Addiction (Substance Use Disorder))
28545 HIGHWAY 18
SKYFOREST, CA 92385
San Bernardino County (909) 336-1800
KRISTINE SCULLIN
Counselor (Addiction (Substance Use Disorder))
28545 HIGHWAY 18
SKYFOREST, CA 92385
San Bernardino County (909) 336-1800
KATHLEEN FERRARA
Counselor
28545 HIGHWAY 18
SKYFOREST, CA 92385
San Bernardino County (909) 336-1800
TRACY MARSHALL
Counselor (Addiction (Substance Use Disorder))
28545 HIGHWAY 18
SKYFOREST, CA 92385
San Bernardino County (909) 336-1800
MICHELE HUNT
Counselor
28545 HIGHWAY 18
SKYFOREST, CA 92385
San Bernardino County (909) 336-1800
JESSICA LEIGH PURKISS
Counselor (Addiction (Substance Use Disorder))
28545 HIGHWAY 18
SKYFOREST, CA 92385
San Bernardino County (909) 336-1800
COLLEEN ANN MYERS
Counselor (Addiction (Substance Use Disorder))
28545 HIGHWAY 18
SKYFOREST, CA 92385
San Bernardino County (909) 336-1800
RIM FAMILY SERVICES, INC.
Community/Behavioral Health
28545 HIGHWAY 18
SKYFOREST, CA 92385
San Bernardino County (909) 336-1800

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 Rusty Broderick's NPI number?

The NPI number for Rusty Broderick is 1346430014. It was assigned to this individual provider in the NPPES registry on July 30, 2007.

Where is Rusty Broderick located?

Rusty Broderick practices at 28545 Highway 18, Skyforest, CA 92385. The listed phone number is (909) 336-1800.

What is Rusty Broderick's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Rusty Broderick was last updated on July 30, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.