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MR. RICHARD IVY BROUSSARD III
NPI 1356142210
Counselor - Addiction (Substance Use Disorder) in Santa Monica, CA

Active since March 24, 2025
907 PICO BLVD, SANTA MONICA, CA 90405(310) 314-6200 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Richard Ivy Broussard Iii NPPES

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

MR. RICHARD IVY BROUSSARD III (NPI 1356142210) is an individual addiction (substance use disorder) provider in Santa Monica, California and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1356142210
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. RICHARD IVY BROUSSARD III
Location Address907 PICO BLVDSanta Monica, CA 90405-1326
Mailing Address2219 Hauser BlvdLos Angeles, CA 90016-2015 · (310) 579-1099
Phone(310) 314-6200
Sole ProprietorYes
Enumeration DateMarch 24, 2025
NPPES CertifiedMarch 24, 2025
✔ NPI 1356142210 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
907 PICO BLVD, Santa Monica, CA 90405
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Other Providers at the Same Location NPPES 20

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

MONIQUE STARR BROWN
Licensed Vocational Nurse
907 PICO BLVD
SANTA MONICA, CA 90405
Los Angeles County (424) 293-6113
AUBREY FREITAS
Counselor (Addiction (Substance Use Disorder))
907 PICO BLVD
SANTA MONICA, CA 90405
Los Angeles County (310) 314-6200
SAHITH SHIVA NARALA
Counselor (Addiction (Substance Use Disorder))
907 PICO BLVD
SANTA MONICA, CA 90405
Los Angeles County (866) 452-5273
OSCAR FLORES
Physician Assistant (Medical)
907 PICO BLVD
SANTA MONICA, CA 90405
Los Angeles County (310) 314-6200
RALPH SMITH
Physician Assistant (Medical)
907 PICO BLVD
SANTA MONICA, CA 90405
Los Angeles County (310) 314-6200
ALTRESSA WASHINGTON
Physician Assistant (Medical)
907 PICO BLVD
SANTA MONICA, CA 90405
Los Angeles County (310) 314-6200
KENNEDI BREELLE HARRIS
Physician Assistant (Medical)
907 PICO BLVD
SANTA MONICA, CA 90405
Los Angeles County (866) 452-5273
MICHAEL MURRAY
Counselor (Addiction (Substance Use Disorder))
907 PICO BLVD
SANTA MONICA, CA 90405
Los Angeles County (310) 314-6200

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 Richard Broussard's NPI number?

The NPI number for Richard Broussard is 1356142210. It was assigned to this individual provider in the NPPES registry on March 24, 2025.

Where is Richard Broussard located?

Richard Broussard practices at 907 Pico Blvd, Santa Monica, CA 90405. The listed phone number is (310) 314-6200.

What is Richard Broussard'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 Richard Broussard was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.