Jennifer L Broach, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

926 Issued in HI

Practice address

1101 Veterans Dr
VA Medical Center (116A4-LD)
Lexington, KY 40502-2236

Phone

(859) 281-3817

Fax

(859) 281-3919

NPI assigned

Apr 12, 2006

Sex

Female

Sole proprietor

No

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1821052457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 VETERANS DR",
            "address_2": "VA MEDICAL CENTER (116A4-LD)",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40502",
            "telephone_number": "859-281-3817",
            "fax_number": "859-281-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 VETERANS DR",
            "address_2": "VA MEDICAL CENTER (116A4-LD)",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405022236",
            "telephone_number": "859-281-3817",
            "fax_number": "859-281-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROACH",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-12",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marquita Maria Briscoe
• Katherine Hawkins Briskie, MD
• John Michael Brislin, B.PHARM.,RPH, FIAIHC
• Rita K Britt-Johnson, CADC, LSW
• Dawan Britt Jr.
• Mary Benson Broadbent, APRN
• Charlene Sue Broaddus, ARNP
• Austin Broadhead, MD
• Javonna Broadus
• John Douglas Broadus

• Clinical Psychologist in Lexington, KY
• Providers in Lexington, KY by specialty
• Clinical Psychologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.