Broderick Healthcare PLLC
Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · North Reading, MA
NPI 1972459451 · NPPES record last updated Mar 7, 2026
Key facts
- NPI
- 1972459451
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- Legal business name
- BRODERICK HEALTHCARE PLLC
- Practice address
- 135 Main St
North Reading, MA 01864-2280 - Phone
- (617) 905-1978
- NPI assigned
- Mar 7, 2026
- Organization subpart
- No
Authorized official
- Name
- Ms. Kathleen Delia Broderick, FNP-BC, PMHNP-BC
- Title
- Medical Director
- Phone
- (617) 905-1978
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260417001660 | MA | Part B Supplier - Clinic/Group Practice | 3476029356 |
Receives reassigned benefits from 1 practitioner Practice locations: North Reading, MA |
National Provider Directory
Locations
135 Main St
Unit 206
North Reading, MA 01864
135 Main St
North Reading, MA 01864
Phone (617) 905-1978
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | Yes |
Addresses
Primary practice location
135 Main St
North Reading, MA 01864-2280
Mailing address
75 Marblehead St
North Reading, MA 01864-1509
Phone (617) 905-1978
Other providers in North Reading, MA
- Manan S Bhagadia
- Bioperformance Physical Therapy
- Boom Stores
- Andrea Borrelli
- Boston Medical Center
- Kathleen Broderick
- Lisa A Brown
- Samantha Bull
- Timothy Burgess
- Sarah E Bush
All providers in North Reading, MA · Psychiatric/Mental Health Nurse Practitioner in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.