Active NPI
Lauren K Broderick, MD
- Psychiatry Physician
- Cary, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- L-263611
- Practice address
- 15000 Weston Parkway
Private Office 171
Cary, NC 27513 - Phone
- (833) 351-8255
- NPI assigned
- Jun 18, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | L-263611 | MA | Primary |
Addresses
Primary practice location
15000 Weston Parkway
Private Office 171
Cary, NC 27513
Mailing address
109 W 27TH St RM 5S
New York, NY 10001-6208
Other practice location 1
109 W 27th St Rm 5S
New York, NY 10001-6208
Phone (833) 351-8255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- JS Weill Medical College, Cornell University, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
555 Fayetteville St
Suite 201
Raleigh, NC 27601-3034
Phone (833) 351-8255
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L-263611 | MA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCCD FL Psychiatry Services PA | Psychiatry | Current | Accepting new patients |
Locations
15000 Weston Pkwy
Ofc 171
Cary, NC 27513
Phone (919) 925-3927
555 Fayetteville St
Ste 201
Raleigh, NC 27601
Phone (919) 780-4178
109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572
Interoperability endpoints
- lbroderick462808@direct.medicine.duke.edu
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.
-
dba Talkiatry
- Psychiatry Physician
- Jacksonville, FL
- NPI 1659003457
NC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745280000000",
"number": "1588046213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 W 27TH ST RM 5S",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100016208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15000 WESTON PARKWAY",
"address_2": "PRIVATE OFFICE 171",
"city": "CARY",
"state": "NC",
"postal_code": "27513",
"telephone_number": "833-351-8255"
}
],
"practiceLocations": [
{
"address_1": "109 W 27th St Rm 5S",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100016208",
"country_code": "US",
"telephone_number": "833-351-8255",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRODERICK",
"first_name": "LAUREN",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-18",
"last_updated": "2025-04-22",
"certification_date": "2025-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "L-263611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cary, NC
- Lauren Elizabeth Broadwell, M.S., BCBA
- Kelly Louise Broady
- Courtney Brocious, CCC-SLP
- Robert Christopher Brock, M.D.
- Michael Daniel Brockman, PHARMD
- Michael Jay Brody, M.D.
- Reid Hunter Brogden, DDS, MS
- Marion Brokaw, RN, BSN, IBCLC
- Beth Ann Brone, PT
- Brookdale Senior Living Communities, Inc. (Brookdale Cary)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.