PHYLLIS BROEGE PHD
NPI 1669460762
Psychologist in Queensbury, NY

Active since October 12, 2005
2 COUNTRY CLUB RD, QUEENSBURY, NY 12804(518) 926-2000(518) 926-2020 Get Directions Write a Review

NPPES record last updated: November 13, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Phyllis Broege Phd NPPES

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

PHYLLIS BROEGE PHD (NPI 1669460762) is an individual psychologist in Queensbury, New York, licensed in New York (013412) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1669460762
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NamePHYLLIS BROEGECredential: PHD
Location Address2 COUNTRY CLUB RDQueensbury, NY 12804-1702
Mailing Address100 Park St, Glens Falls HospitalGlens Falls, NY 12801-4413 · (518) 926-7200 · Fax (518) 926-7036
Fax(518) 926-2020
Sole ProprietorNo
Enumeration DateOctober 12, 2005
Last NPPES UpdateNovember 13, 2019
NPI 1669460762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NY · 013412
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
2 COUNTRY CLUB RD, Queensbury, NY 12804

Other Identifiers 2

Medicaid02070735NY
Other680014530NY · Rr Medicare

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.

Occupational Therapist
2 COUNTRY CLUB RD
QUEENSBURY, NY 12804
Physical Therapist
2 COUNTRY CLUB RD
QUEENSBURY, NY 12804
Speech-Language Pathologist
2 COUNTRY CLUB RD
QUEENSBURY, NY 12804
Physical Therapist
2 COUNTRY CLUB RD
QUEENSBURY, NY 12804
Occupational Therapist
2 COUNTRY CLUB RD
QUEENSBURY, NY 12804
Occupational Therapist
2 COUNTRY CLUB RD
QUEENSBURY, NY 12804
Occupational Therapist
2 COUNTRY CLUB RD
QUEENSBURY, NY 12804
Occupational Therapist
2 COUNTRY CLUB RD
QUEENSBURY, NY 12804

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 Phyllis Broege's NPI number?

The NPI number for Phyllis Broege is 1669460762. It was assigned to this individual provider in the NPPES registry on October 12, 2005.

Where is Phyllis Broege located?

Phyllis Broege practices at 2 Country Club Rd, Queensbury, NY 12804. The listed phone number is (518) 926-2000.

What is Phyllis Broege's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Phyllis Broege was last updated on November 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.