MR. WILFRED CARNELL BROOM
NPI 1750896288
Counselor in Sacramento, CA

Q: What is Wilfred Broom's NPI number?

The NPI number for Wilfred Broom is 1750896288. It was assigned to this individual provider in the NPPES registry on December 6, 2017.

Q: What is Wilfred Broom's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Wilfred Broom was last updated on January 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 December 06, 2017

7171 BOWLING DRIVE SUITE 300, SACRAMENTO, CA 95823(916) 394-9195(916) 392-2827 Get Directions Write a Review

NPPES record last updated: January 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 4, 2021, Dec 6, 2017 (2 updates tracked since 2017).

On this page

About Mr. Wilfred Carnell Broom NPPES

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

MR. WILFRED CARNELL BROOM (NPI 1750896288) is an individual counselor in Sacramento, California and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1750896288

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameMR. WILFRED CARNELL BROOM

Location Address7171 BOWLING DRIVE SUITE 300Sacramento, CA 95823

Mailing Address7171 Bowling Drive Suite 300Sacramento, CA 95823 · (916) 394-9195 · Fax (916) 392-2827

Phone(916) 394-9195

Fax(916) 392-2827

Sole ProprietorYes

Enumeration DateDecember 6, 2017

Last NPPES UpdateJanuary 4, 20212 updates tracked since enumeration

NPPES CertifiedJanuary 4, 2021

✔ NPI 1750896288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

Also ListedPeer SpecialistTaxonomy 175T00000X

7171 BOWLING DRIVE SUITE 300, Sacramento, CA 95823

Open in Google Maps ↗

Other Identifiers 1

Medicaid1508011065CA

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 Wilfred Broom's NPI number?

The NPI number for Wilfred Broom is 1750896288. It was assigned to this individual provider in the NPPES registry on December 6, 2017.

Where is Wilfred Broom located?

Wilfred Broom practices at 7171 Bowling Drive Suite 300, Sacramento, CA 95823. The listed phone number is (916) 394-9195.

What is Wilfred Broom's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Wilfred Broom was last updated on January 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.