Chandler Broadbent, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4140 Issued in TN

Practice address

904 Judson St
Redlands, CA 92374-3841

Phone

(909) 353-7403

NPI assigned

Jul 11, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1752192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1114818887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7381",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923750381",
            "telephone_number": "909-353-7403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 JUDSON ST",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923743841",
            "telephone_number": "909-353-7403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROADBENT",
        "first_name": "CHANDLER",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-11",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "4140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bright Sky Home Health Care, Inc.
• Bright Sky Hospice Care, Inc.
• Bright Sky Manor LLC
• Bright Sky Medical Transportation LLC
• Crystal Britt, LCSW
• Chad Brockardt, M.D.
• Douglas C Brockmann, M.D.
• Brockton Podiatry Group a Prof Corp
• Sophia Broderick, LPCC
• Diane Brodersen Eppler, LMFT

• Clinical Psychologist in Redlands, CA
• Providers in Redlands, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; 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.