BROADVISTAS PSYCHOLOGY LLC
NPI 1679197065
Psychologist - Clinical in Parker, CO

Q: What is Broadvistas Psychology LLC's NPI number?

The NPI number for Broadvistas Psychology LLC is 1679197065. It was assigned to this organization in the NPPES registry on June 2, 2020.

Q: What is Broadvistas Psychology LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since June 02, 2020

12230 LIONESS WAY, PARKER, CO 80134(888) 948-6789(877) 345-3501 Get Directions Write a Review

NPPES record last updated: January 6, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 6, 2023, Jun 2, 2020 (2 updates tracked since 2020).

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About Broadvistas Psychology Llc NPPES

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

BROADVISTAS PSYCHOLOGY LLC (NPI 1679197065) is a healthcare organization registered as a clinical in Parker, Colorado and active in the NPI registry since June 2020. The organization lists Thomas Judson Broadhurst, Owner, as its authorized official.

NPPES Registry Identity

NPI1679197065

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameBROADVISTAS PSYCHOLOGY LLC

Location Address12230 LIONESS WAYParker, CO 80134-5603

Mailing Address1 Kalisa Way Ste 101Paramus, NJ 07652-3508 · (888) 948-6789 · Fax (877) 345-3501

Phone(888) 948-6789

Fax(877) 345-3501

Organization SubpartNo

Authorized OfficialThomas Judson BroadhurstOwner · (303) 278-7418

Enumeration DateJune 2, 2020

Last NPPES UpdateJanuary 6, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 6, 2023

✔ NPI 1679197065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

12230 LIONESS WAY, Parker, CO 80134

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

KIRSTEN DEROODE PA-C

Physician Assistant (Medical)