Sinead Patricia Broughton, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY20277 Issued in CA

Practice address

21 Tamal Vista Blvd Ste 201
Corte Madera, CA 94925-1115

Phone

(415) 806-6634

NPI assigned

Jul 17, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427328000000",
    "number": "1609893353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 TAMAL VISTA BLVD STE 201",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251115",
            "telephone_number": "415-806-6634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 TAMAL VISTA BLVD STE 201",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251115",
            "telephone_number": "415-806-6634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUGHTON",
        "first_name": "SINEAD",
        "middle_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2015-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY20277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edwin B. Bottum-Morgan, PH.D.
• Marion Katherine Brennan, LCSW
• Brett V. Curtis, M.D. Inc. Apc
• Nadine Renee Brinton, D.C.
• Marilyn Britton, D.C.
• Brooke A Brown, PHD
• Ernest Troy Bryant, PHD
• Madison Buchanan, MD
• Kristin Greilick Burrell, M.A., CCC-SLP
• Naomi Butler, M.F.T.

• All providers in Corte Madera, CA
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; 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.