BROADVISTAS PSYCHOLOGY, LLC
NPI 1841968864
Psychologist - Clinical in Greeley, CO

Active since September 03, 2021
4356 24TH STREET RD, GREELEY, CO 80634(888) 948-6789(877) 345-3501 Get Directions Write a Review

NPPES record last updated: November 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 21, 2023, Jan 6, 2023 (2 updates tracked since 2023).

About Broadvistas Psychology, Llc NPPES

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

BROADVISTAS PSYCHOLOGY, LLC (NPI 1841968864) is a healthcare organization registered as a clinical in Greeley, Colorado and active in the NPI registry since September 2021. The organization lists Thomas J Broadhurst, Owner, as its authorized official.

NPPES Registry Identity

NPI1841968864
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameBROADVISTAS PSYCHOLOGY, LLC
Location Address4356 24TH STREET RDGreeley, CO 80634-3330
Mailing Address1 Kalisa Way Ste 101Paramus, NJ 07652-3508 · (888) 948-6789 · Fax (877) 345-3501
Fax(877) 345-3501
Organization SubpartNo
Authorized OfficialThomas J BroadhurstOwner · (888) 948-6789
Enumeration DateSeptember 3, 2021
Last NPPES UpdateNovember 21, 20232 updates tracked since enumeration
NPPES CertifiedNovember 21, 2023
NPI 1841968864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
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.
4356 24TH STREET RD, Greeley, CO 80634

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

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.

Skilled Nursing Facility
4356 24TH STREET RD
GREELEY, CO 80634
Occupational Therapy Assistant
4356 24TH STREET RD
GREELEY, CO 80634
Occupational Therapist
4356 24TH STREET RD
GREELEY, CO 80634
Occupational Therapist
4356 24TH STREET RD
GREELEY, CO 80634
Physical Therapy Assistant
4356 24TH STREET RD
GREELEY, CO 80634

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 Broadvistas Psychology, LLC's NPI number?

The NPI number for Broadvistas Psychology, LLC is 1841968864. It was assigned to this organization in the NPPES registry on September 3, 2021.

Where is Broadvistas Psychology, LLC located?

Broadvistas Psychology, LLC is located at 4356 24th Street Rd, Greeley, CO 80634. The listed phone number is (888) 948-6789.

What is Broadvistas Psychology, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Broadvistas Psychology, LLC was last updated on November 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.