DR. JENNIFER A BRODERICK (NPI# 1003185372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003185372 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER A BRODERICK |
| Credential | PSY.D. |
| Practice Address |
12938 Ablingdon Dr Frisco TX 75035 |
| Mailing Address |
12938 Ablingdon Dr Frisco TX 75035-8807 |
| Practice Telephone | 9545516352 |
| Mailing Telephone | 9545516352 |
| Enumeration Date | 2011-12-15 |
| Last Update Date | 2015-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY8263 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962499723 | Jennifer Mary Broderick | Physician Assistant | 960 7th Ave N, St Petersburg, FL 33705-1347 | 2005-10-05 |
| 1861860728 | Jennifer Broderick | Physical Therapy Assistant | 3703 W Lake Ave Ste 200, Glenview, IL 60026-1266 | 2015-09-09 |
| 1144258807 | Jennifer L Broderick | Contractor | 79 W Main St, Lexington, OH 44904-1113 | 2006-06-29 |
| Street Address |
12938 ABLINGDON DR |
| City | FRISCO |
| State | TX |
| Zip Code | 75035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255938379 | Passionate Helpers | Home Health | 15922 Eldorado Parkway #500 #561, Frisco, TX 75035 | 2020-10-01 |
| 1740801331 | Jasmine Mathew | Recreation Therapist | 15820 Christopher Lane, Frisco, TX 75035 | 2020-05-05 |
| 1609416288 | James D Browning IIi | Dentist | 14660 Sh 121 Building 300, Frisco, TX 75035 | 2020-01-10 |
| 1376004655 | Prime Choice Urgent Care Pllc | Clinic/Center | 12828 Eldorado Parkway, Frisco, TX 75035 | 2019-03-28 |
| 1922576396 | Bradley Buchwald Dmd | Dentist | 6549 Coit Rd, Ste 124, Frisco, TX 75035 | 2018-11-05 |
| 1780165084 | B and B Optical Management, LLC | Optometrist | 16100 Sh 121, Bldg A, Suite 130, Frisco, TX 75035 | 2018-08-24 |
| 1659851061 | B and B Optical Management, LLC | Optometrist | 16100 Sh 121, Frisco, TX 75035 | 2018-08-15 |
| 1174018568 | Thrive Dental and Orthodontics Pllc | Dentist | 10935 Rolater Rd, #210, Frisco, TX 75035 | 2018-06-27 |
| 1558856054 | Stephanie Scales Gregory | Registered Nurse | 7525 Hickory Street, #205, Frisco, TX 75035 | 2018-06-27 |
| 1073018131 | Frisco Total Wellness Clinic, Pllc | Family Medicine | 14550 Highway 121, Suite 130, Frisco, TX 75035 | 2018-03-29 |
| Find all providers in zip 75035 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316483423 | Morgan Irene Carey Grahovec | Psychologist | 5110 Eldorado Pkwy Ste 460, Frisco, TX 75033-8609 | 2017-01-12 |
| 1629226410 | Aliya Sheriff | Psychologist | 6371 Preston Rd Ste 120, Frisco, TX 75034 | 2008-09-04 |
| 1194830133 | Derrick K Blanton | Psychologist | 13284 Bugatti Dr, Frisco, TX 75034-0916 | 2006-08-20 |
| 1902268907 | J. Summer-rose Chaney | Psychologist | 5850 Town and Country Blvd, Suite 1001, Frisco, TX 75034-6942 | 2016-03-28 |
| 1811330020 | Marian R Zimmerman | Psychologist | 3550 Parkwood Blvd, Suite 306, Frisco, TX 75034-1903 | 2013-04-08 |
| 1134562341 | Marian R. Zimmerman Ph.d., Pa | Psychologist | 3550 Parkwood Blvd, Suite 306, Frisco, TX 75034-1903 | 2013-04-08 |
| 1255645529 | Shaalon Joules Phd Pllc | Psychologist | 2770 Main St, Ste. 281, Frisco, TX 75033-4302 | 2010-07-29 |
| 1669704540 | Biofeedback & Behavioral Healthcare Solutions, P.a. | Psychologist | 13284 Bugatti Dr, Frisco, TX 75034-0916 | 2010-02-03 |
| 1841522729 | Biofeedback & Behavioral Healthcare Solutions, P.a. | Psychologist | 13284 Bugatti Dr, Frisco, TX 75034-0916 | 2010-02-03 |
| 1598990574 | Richard Joel Marion | Psychologist | 120 Third Avenue, Frisco, CO 80443 | 2009-05-20 |
| Find all providers in FRISCO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.