Broadvistas Psychology LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

BROADVISTAS PSYCHOLOGY LLC

Practice address

14555 E Hampden Ave
Aurora, CO 80014-5041

Phone

(888) 948-6789

Fax

(877) 345-3501

NPI assigned

Jun 2, 2020

Last updated

Jan 6, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas Judson Broadhurst, PSYDNPI 1699972323

Title

Owner

Phone

(303) 278-7418

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas Judson Broadhurst, PHD, PSYD

  • Clinical Psychologist
  • Denver, CO
  • NPI 1699972323
  Authorized official Same address or phone

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672963200000",
    "number": "1134743529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 KALISA WAY STE 101",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076523508",
            "telephone_number": "888-948-6789",
            "fax_number": "877-345-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14555 E HAMPDEN AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800145041",
            "telephone_number": "888-948-6789",
            "fax_number": "877-345-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADVISTAS PSYCHOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-02",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A",
        "authorized_official_last_name": "BROADHURST",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JUDSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-278-7418",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Britton, MSW
• Betsy Britz, N.D., A.P.R.N.C.N.S.
• Reagan Broach, OTR/L
• Christine L Broad
• Joshua Broadman, MD
• Chance Brock
• Dylan Caperton Brock, M.D.
• Nicole Brock, AGACNP
• Rachel Brock, MD
• Megan A Brockel, MD

• Clinical Psychologist in Aurora, CO
• Providers in Aurora, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; 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.