Active NPI
Broadvistas Psychology LLC
- Clinical Psychologist
- Highlands Ranch, CO
National Provider Identifier
1326422759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY.0004234
- Legal business name
- BROADVISTAS PSYCHOLOGY LLC
- Practice address
- 3420 Mill Vista Rd
Highlands Ranch, CO 80129-2324 - Phone
- (888) 948-6789
- Fax
- (877) 345-3501
- NPI assigned
- Jul 15, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas Broadhurst, PSYD
- Title
- Psychologist
- Phone
- (720) 838-8141
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY.0004234 | CO | Primary |
Addresses
Primary practice location
3420 Mill Vista Rd
Highlands Ranch, CO 80129-2324
Mailing address
1 Kalisa Way Ste 101
Paramus, NJ 07652-3508
Phone (888) 948-6789
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PSY.0004234 | Other | CO | PROFESSIONAL LICENSE |
National Provider Directory
National Provider DirectoryLocations
3420 Mill Vista Rd
Highlands Ranch, CO 80129
Phone (303) 798-3100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436918400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754265600000",
"number": "1326422759",
"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": "3420 MILL VISTA RD",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801292324",
"telephone_number": "888-948-6789",
"fax_number": "877-345-3501"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROADVISTAS PSYCHOLOGY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-15",
"last_updated": "2025-08-04",
"certification_date": "2025-08-04",
"status": "A",
"authorized_official_last_name": "BROADHURST",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "720-838-8141",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "PSY.0004234",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROFESSIONAL LICENSE",
"identifier": "PSY.0004234",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Highlands Ranch, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.