Thomas Judson Broadhurst, PHD, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY.0004234 Issued in CO

Practice address

3131 S Federal Blvd
Denver, CO 80236-2713

Phone

(888) 948-6789

Fax

(877) 345-3501

NPI assigned

Jun 27, 2007

Last updated

Jul 28, 2022By the provider in NPPES

Sex

Male

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

Enrolled in CO

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

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• Broadvistas Psychology LLC

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• Broadvistas Psychology LLC

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• Broadvistas Psychology LLC

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• Broadvistas Psychology LLC

  • Clinical Psychologist
  • Highlands Ranch, CO
  • NPI 1528682580
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• Broadvistas Psychology LLC

  • Clinical Psychologist
  • Parker, CO
  • NPI 1679197065
  Authorized official Same address or phone
• Broadvistas Psychology LLC

  • Clinical Psychologist
  • Denver, CO
  • NPI 1699383109
  Authorized official Same address or phone
• Broadvistas Psychology LLC

  • Clinical Psychologist
  • Denver, CO
  • NPI 1700471356
  Authorized official Same address or phone
• Broadvistas Psychology, LLC

  • Clinical Psychologist
  • Greeley, CO
  • NPI 1841968864
  Authorized official Same address or phone
• Broadvistas Psychology, LLC

  • Clinical Psychologist
  • Parker, CO
  • NPI 1851986525
  Authorized official Same address or phone

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1699972323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 KALISA WAY STE 101",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076523508",
            "telephone_number": "888-948-6789",
            "fax_number": "877-345-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 S FEDERAL BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802362713",
            "telephone_number": "888-948-6789",
            "fax_number": "877-345-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROADHURST",
        "first_name": "THOMAS",
        "middle_name": "JUDSON",
        "name_prefix": "Mr.",
        "credential": "PHD, PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY.0004234",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CO",
            "license": "79411",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Lynn Britton, RN, CRNFA
• Lauren Brittsan, LPC
• Wilmer Del Carmen Brizuela Moran, SA-C
• Peter M Brnovich, PMHNP
• Richard Oldfield Broadhurst
• Broadvistas Psychology LLC
• Broadvistas Psychology LLC
• Broadvistas Psychology LLC
• Broadway Chiropractic Center Inc
• Broadway Family Dentistry & Implants ,PLLC (Broadway Family Dentistry & Implants)

• Clinical Psychologist in Denver, CO
• Providers in Denver, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.