Broadvistas Psychology, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

BROADVISTAS PSYCHOLOGY, LLC

Practice address

15270 Garden Plaza Dr
Parker, CO 80134-9103

Phone

(888) 948-6789

Fax

(877) 345-3501

NPI assigned

Mar 4, 2021

Last updated

May 21, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas J Broadhurst, PSYDNPI 1699972323

Title

Owner

Phone

(303) 278-7418

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas Judson Broadhurst, PHD, PSYD

  • Clinical Psychologist
  • Denver, CO
  • NPI 1699972323
  Authorized official Same address or phone

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1851986525",
    "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": "15270 GARDEN PLAZA DR",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801349103",
            "telephone_number": "888-948-6789",
            "fax_number": "877-345-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADVISTAS PSYCHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-04",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "BROADHURST",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-278-7418",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brigitte Am LLC (Orchard Creek Dentistry)
• John Wayne Brimhall, DC
• Payton Rylie Brink
• Brita and Matthew Loeppke, DDS PLLC
• Broadvistas Psychology LLC
• Emily Brock
• Joseph Brodeur, PA-C
• Charmin Broughton, NP
• Jessica Brouwer, DPT
• Christine Brown, OTR

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.