Carolyn Andrea Broudy, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

247746 Issued in MA

Practice address

16 Armory St Ste 25
Northampton, MA 01060-3857

Phone

(413) 586-0411

NPI assigned

May 24, 2008

Last updated

Jan 6, 2012By the provider in NPPES

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

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

New York University School of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pratt Psychiatric Associates IncGroup PAC ID 8921999525, 39 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tufts Medical Center Hospital, Boston, MA, CCN 220116

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cbroudy96316@tuftsmedicine.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pratt Psychiatric Associates, Inc

  dba Pratt Associates

  • Psychiatry Physician
  • Boston, MA
  • NPI 1245270875
  Medicare reassignment Care Compare group NPD
• Family Connections Center, LLC

  • Psychiatry Physician
  • Northampton, MA
  • NPI 1043721012
  NPD Authorized official
• Trustees of Columbia University in Department of Psychiatry

  • Psychiatry Physician
  • New York, NY
  • NPI 1619911526
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Tufts Medical Center, Inc.

  dba Tufts Medical Center

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1730132515
  Care Compare affiliation

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

{
    "created_epoch": "1211587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325808000000",
    "number": "1679731855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 ARMORY STREET, STE. 25",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603857",
            "telephone_number": "413-586-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 ARMORY ST STE 25",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603857",
            "telephone_number": "413-586-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUDY",
        "first_name": "CAROLYN",
        "middle_name": "ANDREA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-24",
        "last_updated": "2012-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "247746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Bristow, LICSW
• Judith Brock, CNM
• Jonathan Brody, LICSW
• Emily Brooks-Gould
• Elyena Schiffer Brotherton
• Frances Brown
• Greenlee Brown, LCSW
• Margaret Ellen Brown, MA EDUCATION
• Agnes Browne, PSY.D.
• Brooke Brownell

• Psychiatry Physician in Northampton, MA
• Providers in Northampton, MA by specialty
• Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; 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.

Verify at the official NPI Registry.