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BROADWAY PSYCHIATRY LLC
NPI 1750907879
Nurse Practitioner - Psychiatric/Mental Health in Garland, TX

Active since June 24, 2020
3960 BROADWAY BLVD STE 232, GARLAND, TX 75043(469) 733-2090 Get Directions Write a Review

NPPES record last updated: July 11, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 11, 2020, Jun 24, 2020 (2 updates tracked since 2020).

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

NPI1750907879
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameBROADWAY PSYCHIATRY LLC
Location Address3960 BROADWAY BLVD STE 232Garland, TX 75043-2591
Mailing Address2657 Johnson CtForney, TX 75126-1696 · (469) 733-2090
Phone(469) 733-2090
Organization SubpartNo
Authorized OfficialVelile Sibusisiwe NkolomiCeo · (469) 733-2090
Enumeration DateJune 24, 2020
Last NPPES UpdateJuly 11, 20202 updates tracked since enumeration
NPPES CertifiedJuly 11, 2020
✔ NPI 1750907879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
3960 BROADWAY BLVD STE 232, Garland, TX 75043
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Other Providers at the Same Location NPPES 2

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

MRS. ANDREA YOSHIKO CARTER PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
3960 BROADWAY BLVD STE 232
GARLAND, TX 75043
Dallas County (469) 573-5539
MISS AMY MAXWELL CAMPBELL MS LMFT-A
Counselor (Mental Health)
3960 BROADWAY BLVD STE 232
GARLAND, TX 75043
Dallas County (469) 969-0422

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.

What insurance does Broadway Psychiatry LLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer 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.