Individual provider Active NPI

Catherine Elise Broomand, PH.D.

  • Clinical Neuropsychologist
  • Sacramento, CA
National Provider Identifier
1093874133
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PSY20087 Issued in CA
Practice address
2345 Fair Oaks Blvd # 14
Sacramento, CA 95825-4708
Phone
(916) 480-6854
NPI assigned
Dec 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PSY20087 CA Primary

Addresses

Primary practice location

2345 Fair Oaks Blvd # 14
Sacramento, CA 95825-4708

Mailing address

2345 Fair Oaks Blvd # 14
Sacramento, CA 95825-4708
Phone (916) 480-6854

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY20087CAMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Stirling Academy, Inc. Current Accepting new patients
Stirling Academy, Inc. Current Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093874133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 FAIR OAKS BLVD # 14",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958254708",
            "telephone_number": "916-480-6854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 FAIR OAKS BLVD # 14",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958254708",
            "telephone_number": "916-480-6854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOMAND",
        "first_name": "CATHERINE",
        "middle_name": "ELISE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY20087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.