DR. LINDA SUSAN BROECKL PH.D.
NPI 1750375697
Psychologist - Clinical in Wpafb, OH

Q: What is Linda Broeckl's NPI number?

The NPI number for Linda Broeckl is 1750375697. It was assigned to this individual provider in the NPPES registry on September 7, 2005.

Q: What is Linda Broeckl'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 Linda Broeckl was last updated on April 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since September 07, 2005PECOS Enrolled

4881 SUGAR MAPLE AVE, 88 MDOS/SGOW, WPAFB, OH 45433(937) 257-6877 Get Directions Write a Review

NPPES record last updated: April 14, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Linda Susan Broeckl Ph.d. NPPES

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

DR. LINDA SUSAN BROECKL PH.D. (NPI 1750375697) is an individual clinical provider in Wpafb, Ohio, licensed in Ohio (4970) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750375697

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. LINDA SUSAN BROECKLCredential: PH.D.

Location Address4881 SUGAR MAPLE AVE, 88 MDOS/SGOWWpafb, OH 45433

Mailing Address4881 Sugar Maple Ave, 88 Mdos/sgowWpafb, OH 45433 · (937) 257-6877

Phone(937) 257-6877

Sole ProprietorYes

Enumeration DateSeptember 7, 2005

Last NPPES UpdateApril 14, 2015

✔ NPI 1750375697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in OH · 4970

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.

4881 SUGAR MAPLE AVE, Wpafb, OH 45433

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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)

Dr. Linda Susan Broeckl Ph.d. 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 45433 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

$166.65 typical visit price

range $54.34 – $166.65

Typical copayment $41.66 (range $13.58 – $41.66)

Most-billed visit code 99205

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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

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

JOSHUA MARK MCDANIEL

Student in an Organized Health Care Education/Training Program

4881 SUGAR MAPLE AVE
WPAFB, OH 45433

Greene County (919) 621-5744

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 Linda Broeckl's NPI number?

The NPI number for Linda Broeckl is 1750375697. It was assigned to this individual provider in the NPPES registry on September 7, 2005.

Where is Linda Broeckl located?

Linda Broeckl practices at 4881 Sugar Maple Ave 88 Mdos/Sgow, Wpafb, OH 45433. The listed phone number is (937) 257-6877.

What is Linda Broeckl's specialty?

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

Is Linda Broeckl enrolled in Medicare?

Yes. Linda Broeckl is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Linda Broeckl was last updated on April 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.