BROADWAY PSYCHIATRY LLC
NPI 1750907879
Nurse Practitioner - Psychiatric/Mental Health in Garland, TX
About Broadway Psychiatry Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BROADWAY PSYCHIATRY LLC (NPI 1750907879) is a healthcare organization registered as a psychiatric/mental health in Garland, Texas and active in the NPI registry since June 2020. The organization lists Velile Sibusisiwe Nkolomi, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Broadway Psychiatry Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Broadway Psychiatry LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Broadway Psychiatry LLC's NPI number?
The NPI number for Broadway Psychiatry LLC is 1750907879. It was assigned to this organization in the NPPES registry on June 24, 2020.
Where is Broadway Psychiatry LLC located?
Broadway Psychiatry LLC is located at 3960 Broadway Blvd Ste 232, Garland, TX 75043. The listed phone number is (469) 733-2090.
What is Broadway Psychiatry LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Broadway Psychiatry LLC enrolled in Medicare?
Yes. Broadway Psychiatry LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Broadway Psychiatry LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Broadway Psychiatry LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Broadway Psychiatry LLC accept?
Health plans from Blue Cross and Blue Shield of Texas list Broadway Psychiatry LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Broadway Psychiatry LLC was last updated on July 11, 2020. 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.
# Broadway Psychiatry Llc · NPI 1750907879
Psychiatric/Mental Health organization in Garland, Texas. Organization record, active in the CMS NPPES registry since June 24, 2020.
## Identity
- **NPI:** 1750907879 (Entity type: Organization)
- **Enumerated:** June 24, 2020
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Velile Nkolomi, CEO
## Practice location
- **Address:** 3960 BROADWAY BLVD STE 232, Garland, TX 75043-2591
- **Phone:** (469) 733-2090
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 11, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1750907879) · Data from the CMS NPPES public registry.