MR. THOMAS JUDSON BROADHURST PHD, PSYD - NPI 1699972323

Q: What is Thomas Broadhurst's NPI number?

The NPI number for Thomas Broadhurst is 1699972323. It was assigned to this individual provider in the NPPES registry on June 27, 2007.

Q: What is Thomas Broadhurst's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Thomas Broadhurst was last updated on July 28, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mr. Thomas Judson Broadhurst Phd, Psyd NPPES

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

MR. THOMAS JUDSON BROADHURST PHD, PSYD (NPI 1699972323) is an individual clinical provider in Denver, Colorado, licensed in Colorado (PSY.0004234) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699972323

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameMR. THOMAS JUDSON BROADHURSTCredential: PHD, PSYD

Location Address3131 S FEDERAL BLVDDenver, CO 80236-2713

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

Phone(888) 948-6789

Fax(877) 345-3501

Sole ProprietorYes

Enumeration DateJune 27, 2007

Last NPPES UpdateJuly 28, 20226 updates tracked since enumeration

NPPES CertifiedJuly 28, 2022

✔ NPI 1699972323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CO · PSY.0004234

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 79411 (CO)

3131 S FEDERAL BLVD, Denver, CO 80236

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Thomas Judson Broadhurst Phd, Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80236 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$174.82 typical visit price

range $58.06 – $174.82

Typical copayment $43.70 (range $14.51 – $43.70)

Most-billed visit code 99205

Established Patient

$102.03 typical visit price

range $18.88 – $142.79

Typical copayment $25.50 (range $4.72 – $35.69)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

KARI DAHLIN LCSW

Social Worker (Clinical)