Individual provider Active NPI

Haley Maria Broadaway, LMFT

  • Marriage & Family Therapist
  • Santa Ana, CA
National Provider Identifier
1346081353
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
146758 Issued in CA
Practice address
2677 N Main St Ste 130
Santa Ana, CA 92705-6665
Phone
(714) 274-7577
Fax
(714) 274-7578
NPI assigned
Jun 4, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 146758 CA Primary

Addresses

Primary practice location

2677 N Main St Ste 130
Santa Ana, CA 92705-6665

Mailing address

2677 N Main St Ste 130
Santa Ana, CA 92705-6665
Phone (714) 274-7577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Northeastern Ohio University College of Medicine, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1920 Main St
Suite 350
Irvine, CA 92614-7204

4702 Lomita St
Los Angeles, CA 90019-5722

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
146758CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sensible Care, a Medical Corporation CurrentSince Jun 9, 2024 Accepting new patients

Locations

24422 Avenida de la Carlota
Ste 190
Laguna Hills, CA 92653
Phone (800) 801-9833

2677 N Main St
Ste 130
Santa Ana, CA 92705
Phone (714) 274-7577

Organizations & group practices 1

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": "1717459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1346081353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2677 N MAIN ST STE 130",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927056665",
            "telephone_number": "714-274-7577",
            "fax_number": "714-274-7578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2677 N MAIN ST STE 130",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927056665",
            "telephone_number": "714-274-7577",
            "fax_number": "714-274-7578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROADAWAY",
        "first_name": "HALEY",
        "middle_name": "MARIA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "146758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.