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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
1275 | MD | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | CAREFIRSTBLUECROSSBLUESHI | G078J | 01 |
Street Address |
2 HAMILL RD SUITE 120 |
City | BALTIMORE |
State | MD |
Zip Code | 21210-1837 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 21210 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598385577 | Rise Life Solutions | Psychologist | 22 S Exeter St, Baltimore, MD 21202-4628 | 2020-04-20 |
1821617648 | Deborah Antonia Drummer | Psychologist | 1608 Burnwood Rd, Baltimore, MD 21239-3603 | 2020-04-11 |
1669091823 | Catherine Marie Corno Garofano | Psychologist | 10 N Greene St # 6d109, Baltimore, MD 21201-1524 | 2020-04-08 |
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 |
1285140541 | Omolara Akinrinade | Psychologist | 6722 Valley Creek Dr, Baltimore, MD 21207-5319 | 2017-12-22 |
Find all providers in BALTIMORE |
Please comment or provide details below to improve the information on DR. JANAN BROADBENT.
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.