Broca Life Options LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3576 Issued in AZ

Legal business name

BROCA LIFE OPTIONS LLC

Practice address

1492 S Mill Ave
Ste. 114
Tempe, AZ 85281-5652

Phone

(480) 557-5710

Fax

(480) 557-5712

NPI assigned

Apr 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. L Emily Brown Cabezudo, PHD

Title

Doctor

Phone

(480) 557-5710

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ignacio Nmi Cabezudo, MD

  • General Practice Physician
  • Goldsboro, NC
  • NPI 1538161864
  NPD (past)

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275436800000",
    "number": "1710106489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3941 E CHANDLER BLVD",
            "address_2": "STE. 106-158",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850480301",
            "telephone_number": "480-557-5710",
            "fax_number": "480-557-5712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1492 S MILL AVE",
            "address_2": "STE. 114",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852815652",
            "telephone_number": "480-557-5710",
            "fax_number": "480-557-5712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROCA LIFE OPTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2010-06-02",
        "status": "A",
        "authorized_official_last_name": "BROWN CABEZUDO",
        "authorized_official_first_name": "L EMILY",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "480-557-5710",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "3576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "700885-000",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA #",
            "identifier": "8951723",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSAZ",
            "identifier": "AZ0618080",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "700885000",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Corinna Briseno
• Brandie Britt
• Broadway Dental LLC
• Brittany Broberg
• Broca Health LLC
• Amber Brodersen
• Valerie A Brodsky, D.O.
• Lauren Brogan, M.S., CCC-SLP
• Lynda Jane Broky, R. N.
• Brookdale Senior Living Communities, Inc.

• Psychologist in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2010; 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.