Jessica Broitman, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY9710 Issued in CA

Practice address

2940 Forest Ave
Berkeley, CA 94705-1311

Phone

(510) 612-6392

NPI assigned

Aug 20, 2026

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1787184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1396651170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 FOREST AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051311",
            "telephone_number": "510-612-6392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 FOREST AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051311",
            "telephone_number": "510-612-6392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROITMAN",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-20",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP0814X",
            "taxonomy_group": "",
            "desc": "Psychologist, Psychoanalysis",
            "state": "CA",
            "license": "PSY9710",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY9710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Broadway, R.N., N.P.
• Phoebe Brock-Dolas
• Kimberly L Brodsky, PHD
• Bennett Roy Brodwin, DMD
• Monika Silvia Broecker, MS, MA
• Jessica Lynn Broodryk, OD
• Kyla Brooke, LMFT, CMT
• Kylie Brookes, M.D.
• Nakiesha Brooks-Davis, MS, ATC
• Faith Serenity Shavis Brooks-Hunter, M.A., CCC-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; 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.