DR. JANAN BROADBENT


Address: 2 Hamill Rd, Suite 120, Baltimore, MD 21210-1837
Phone: 4108255577

DR. JANAN BROADBENT (NPI# 1023236114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023236114
Entity Type Individual
Full Name DR. JANAN BROADBENT
Credential PH.D.
Practice Address 2 Hamill Rd
Suite 120
Baltimore
MD 21210-1837
Mailing Address 2 Hamill Rd
Suite 120
Baltimore
MD 21210-1806
Practice Telephone 4108255577
Practice Fax Number 4104682555
Mailing Telephone 4108255577
Mailing Fax Number 4104682555
Enumeration Date 2007-04-23
Last Update Date 2011-06-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
1275 MD Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MD CAREFIRSTBLUECROSSBLUESHI G078J 01

Office Location

Street Address 2 HAMILL RD
SUITE 120
City BALTIMORE
State MD
Zip Code 21210-1837

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467459594 Mary-beth Smith Social Worker 2 Hamill Rd, Suite 316, Baltimore, MD 21210-1806 2005-07-05
1750849584 Kleese Family Care LLC Clinic/Center 2 Hamill Rd, Ste 222, Baltimore, MD 21210-1815 2019-03-11
1285143248 Lynne Anne Blum Psychologist 2 Hamill Rd, Baltimore, MD 21210-1806 2017-09-21
1366836280 Sara K Daly Social Worker 2 Hamill Rd, Suite 326, Baltimore, MD 21210-1806 2015-03-28
1740684208 Adina Noff Nurse Practitioner 2 Hamill Rd, Suite 405, Baltimore, MD 21210-1806 2014-10-13
1619370376 Milan Wister, M.d., LLC Internal Medicine 2 Hamill Rd, Suite 222, Baltimore, MD 21210-1806 2014-10-08
1639583768 Bio-medical Applications of Maryland, Inc. Clinic/Center 2 Hamill Rd, Baltimore, MD 21210-1806 2014-06-17
1083044309 Renee Hoeckel Social Worker 2 Hamill Rd, Suite #359, Baltimore, MD 21210-1806 2013-11-22
1861744294 Genevieve B Gogerdchi Optometrist 2 Hamill Rd, West Quadrangle, Suite 345, Baltimore, MD 21210 2012-10-09
1679715262 Danna Celeste Carroll Social Worker 2 Hamill Rd, Suite 358, Baltimore, MD 21210-1806 2009-03-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134758527 Mechelle Suezette Norris Physical Medicine & Rehabilitation Loyola University Maryland Athletics, 4501 N Charles St., Baltimore, MD 21210 2020-04-07
1164086906 Lee Ann Kingham Psychologist 4301 Roland Springs Drive, Baltimore, MD 21210 2019-04-26
1871070748 Indigo Physiotherapy, LLC Dietitian, Registered 600 Wyndhurst Avenue, Suite 102, Baltimore, MD 21210 2018-07-24
1669994505 Stephen J Condouris Nurse Practitioner 4544 Keswick Rd, Baltimore, MD 21210 2017-07-12
1477942555 John Alan Singer Surgery 24 Roland Green, Baltimore, MD 21210 2015-01-13
1710306816 David Schaffer Specialist/Technologist 4501 North Charles St., Loyola University, Baltimore, MD 21210 2014-04-16
1306121538 Carrie Anne Runde Naturopath 4800 Roland Avenue, Suite 201, Baltimore, MD 21210 2011-10-19
1699057109 Eugenia A Lombardi Clinical Nurse Specialist 4502a N Charles St., Baltimore, MD 21210 2011-09-12
1629394192 Loch Raven Pharmacy Inc Pharmacy 200 West Cold Spring Lane, Baltimore, MD 21210 2010-04-09
1922249572 Julie F. Sanz Nurse Practitioner 4502a N. Charles St., Shs, Baltimore, MD 21210 2009-03-11
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1821617648 Deborah Antonia Drummer Psychologist 1608 Burnwood Rd, Baltimore, MD 21239-3603 2020-04-11
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1184251969 One Healing Education and Renewing Through Therapy Psychologist 210 E Lexington St. Suite 400, Suite 400, Baltimore, MD 21202-0000 2020-03-24
1376176974 Jennifer May Lorenzo Psychologist 209 W Fayette St Fl 4, Baltimore, MD 21201-3403 2020-02-21
1235774878 Sarah E Ryan Psychologist 707 Grundy St, Baltimore, MD 21224-4344 2019-11-07
1205494200 Ophira Weiskopf Psychologist 3705 W Rogers Ave, Baltimore, MD 21215-4525 2019-06-04
1487129813 Mental Health Assessment and Wellness, LLC Psychologist 5911 York Rd Ste 100, Baltimore, MD 21212-3048 2018-10-12
1023594017 Yaakov Shugarman Psychologist 5603 Newbury St, Baltimore, MD 21209-3603 2018-07-13
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Competitor

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City BALTIMORE
Zip Code 21210

Improve Information

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Dataset Information

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.

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