Active NPI
Patricia A Broadbent, PSY. D.
- Psychologist
- Greenwich, CT
National Provider Identifier
1821866229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4659
- Practice address
- 151 Railroad Ave
Greenwich, CT 06830-6381 - Phone
- (203) 962-8381
- NPI assigned
- Dec 14, 2023
- Last updated
- Dec 26, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 4659 | CT | Primary |
Addresses
Primary practice location
151 Railroad Ave
Greenwich, CT 06830-6381
Mailing address
54 Halsey Dr
Old Greenwich, CT 06870-1225
Phone (203) 940-3292
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4659 | CT | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703548800000",
"number": "1821866229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54 HALSEY DR",
"city": "OLD GREENWICH",
"state": "CT",
"postal_code": "068701225",
"telephone_number": "203-940-3292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 RAILROAD AVE",
"city": "GREENWICH",
"state": "CT",
"postal_code": "068306381",
"telephone_number": "203-962-8381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROADBENT",
"first_name": "PATRICIA",
"middle_name": "A",
"credential": "PSY. D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-14",
"last_updated": "2023-12-26",
"certification_date": "2023-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CT",
"license": "4659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.