Family Resource Center 0384

Primary specialty

PsychologistTaxonomy code 103T00000X

License

903 Issued in AZ

Legal business name

FAMILY RESOURCE CENTER 0384

Doing business as

Psychological & Family Health (Asso.)

Practice address

2432 W, Peoria Avenue
Suite 1327
Phoenix, AZ 85029

Phone

(602) 866-3432

Fax

(602) 866-3764

NPI assigned

Jan 30, 2007

Last updated

Jun 11, 2013By 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

Dr. Dennis E. Broadbent, PH.D.NPI 1124209275

Title

Psychologist (Director)

Phone

(602) 866-3432

Specialties & licenses 3

Addresses

Other names 1

• Psychological & Family Health (Asso.) Doing business as

Locations

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.

• Dennis E. Broadbent, PH.D.

  • Psychologist
  • Phoenix, AZ
  • NPI 1124209275
  Authorized official Same address or phone

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370908800000",
    "number": "1316083728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2432 W, PEORIA AVENUE",
            "address_2": "SUITE 1327",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85029",
            "telephone_number": "602-866-3432",
            "fax_number": "602-866-3764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2432 W, PEORIA AVENUE",
            "address_2": "SUITE 1327",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85029",
            "telephone_number": "602-866-3432",
            "fax_number": "602-866-3764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY RESOURCE CENTER 0384",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2013-06-11",
        "status": "A",
        "authorized_official_last_name": "BROADBENT",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PSYCHOLOGIST (DIRECTOR)",
        "authorized_official_telephone_number": "602-866-3432",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LPC2693",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "903",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "AZ",
            "license": "LMFT10254",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Psychological & Family Health (Asso.)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psychologist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; 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.