MS. DIANE ELAINE BROUDER LMFT
NPI 1811093719
Marriage & Family Therapist in Essex, CT

Q: What is Diane Brouder's NPI number?

The NPI number for Diane Brouder is 1811093719. It was assigned to this individual provider in the NPPES registry on September 16, 2006. The provider is also known as Ms. Diane Elaine Brouder Ma.

Q: What is Diane Brouder's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Diane Brouder was last updated on August 7, 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 September 16, 2006PECOS Enrolled

3 WILDWOOD MEDICAL CTR, ESSEX, CT 06426(860) 303-4108 Get Directions Write a Review

NPPES record last updated: August 7, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 7, 2021, Apr 26, 2021 (2 updates tracked since 2021).

On this page

About Ms. Diane Elaine Brouder Lmft NPPES

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

MS. DIANE ELAINE BROUDER LMFT (NPI 1811093719) is an individual marriage & family therapist in Essex, Connecticut, licensed in Connecticut (000597CT) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1811093719

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMS. DIANE ELAINE BROUDERCredential: LMFT

Location Address3 WILDWOOD MEDICAL CTREssex, CT 06426-1155

Mailing Address3 Wildwood Medical CtrEssex, CT 06426-1155 · (860) 303-4108 · Fax (860) 400-3043

Phone(860) 303-4108

Sole ProprietorYes

Medical School CMSOtherGraduated 1992

Enumeration DateSeptember 16, 2006

Last NPPES UpdateAugust 7, 20212 updates tracked since enumeration

NPPES CertifiedAugust 7, 2021

✔ NPI 1811093719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CT · 000597CT

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

3 WILDWOOD MEDICAL CTR, Essex, CT 06426

Open in Google Maps ↗

Other Names 1

Former Name (1)Ms. Diane Elaine Brouder Ma

Other Identifiers 2

Other000597CT · Ct State License For Marriage And Family Therapy

Medicaid004212635CT

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Diane Elaine Brouder Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385179332

PECOS Enrollment IDI20241127001356

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.

Other Providers at the Same Location NPPES 5

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

SEAN MATTHEW GOING L.AC.

Acupuncturist

3 WILDWOOD MEDICAL CTR, 35 SAYBROOK ROAD
ESSEX, CT 06426

Lower Connecticut River Valley Planning Region (860) 767-0888

THIRD STONE INTEGRATIVE HEALTH CENTER

Naturopath

3 WILDWOOD MEDICAL CTR
ESSEX, CT 06426

Lower Connecticut River Valley Planning Region (860) 661-4662

THIRD STONE INTEGRATIVE HEALTH CENTER

Naturopath

3 WILDWOOD MEDICAL CTR
ESSEX, CT 06426

Lower Connecticut River Valley Planning Region (860) 661-4662

THIRD STONE INTEGRATIVE HEALTH CENTER

Nurse Practitioner

3 WILDWOOD MEDICAL CTR
ESSEX, CT 06426

Lower Connecticut River Valley Planning Region (860) 661-4662

DR. ANNE PROCYK N.D.

Naturopath

3 WILDWOOD MEDICAL CTR, THIRD STONE INTEGRATIVE HEALTH CENTER
ESSEX, CT 06426

Lower Connecticut River Valley Planning Region (860) 661-4662

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 Diane Brouder's NPI number?

The NPI number for Diane Brouder is 1811093719. It was assigned to this individual provider in the NPPES registry on September 16, 2006. The provider is also known as Ms. Diane Elaine Brouder Ma.

Where is Diane Brouder located?

Diane Brouder practices at 3 Wildwood Medical Ctr, Essex, CT 06426. The listed phone number is (860) 303-4108.

What is Diane Brouder's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Diane Brouder enrolled in Medicare?

Yes. Diane Brouder is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Diane Brouder was last updated on August 7, 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.