KALYANI GLASS BRODERICK MS
NPI 1447787635
Counselor - Professional in Harrisburg, PA

Active since May 18, 2017PECOS EnrolledAccepts Medicare Assignment
3333 N FRONT ST, HARRISBURG, PA 17110(717) 233-1681 Get Directions Write a Review

NPPES record last updated: July 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 5, 2024, Aug 29, 2022, Sep 25, 2019 and 1 more (4 updates tracked since 2017).

About Kalyani Glass Broderick Ms NPPES

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

KALYANI GLASS BRODERICK MS (NPI 1447787635) is an individual professional provider in Harrisburg, Pennsylvania, licensed in Pennsylvania (PC014468) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1447787635
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKALYANI GLASS BRODERICKCredential: MS
Location Address3333 N FRONT STHarrisburg, PA 17110-1436
Mailing Address3333 N Front StHarrisburg, PA 17110-1436 · (717) 233-1681
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 18, 2017
Last NPPES UpdateJuly 5, 20244 updates tracked since enumeration
NPPES CertifiedJuly 5, 2024
NPI 1447787635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in PA · PC014468
3333 N FRONT ST, Harrisburg, PA 17110

Other Names 1

Former Name (1)Kalyani Glass

Secondary Practice Locations 2

Location 118 Carlisle St Ste 214Gettysburg, PA 17325-1823 · Phone (717) 224-1273
Location 24349 Carlise PikeCamp HIl, PA 17011-4252 · Phone (717) 775-3380 · Fax (717) 775-3382

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kalyani Glass Broderick Ms is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587100151
PECOS Enrollment IDI20240719002094
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 9

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

Social Worker (Clinical)
3333 N FRONT ST
HARRISBURG, PA 17110
Social Worker
3333 N FRONT ST
HARRISBURG, PA 17110
Social Worker
3333 N FRONT ST
HARRISBURG, PA 17110
Counselor (Mental Health)
3333 N FRONT ST
HARRISBURG, PA 17110
Social Worker (Clinical)
3333 N FRONT ST
HARRISBURG, PA 17110
Specialist
3333 N FRONT ST
HARRISBURG, PA 17110
Counselor
3333 N FRONT ST
HARRISBURG, PA 17110
Social Worker (Clinical)
3333 N FRONT ST
HARRISBURG, PA 17110

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 Kalyani Broderick's NPI number?

The NPI number for Kalyani Broderick is 1447787635. It was assigned to this individual provider in the NPPES registry on May 18, 2017. The provider is also known as Kalyani Glass.

Where is Kalyani Broderick located?

Kalyani Broderick practices at 3333 N Front St, Harrisburg, PA 17110. The listed phone number is (717) 233-1681.

What is Kalyani Broderick's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kalyani Broderick enrolled in Medicare?

Yes. Kalyani Broderick is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kalyani Broderick was last updated on July 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.