MRS. DANA BRODERICK (NPI# 1588735260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588735260 |
| Entity Type | Individual |
| Full Name | MRS. DANA BRODERICK |
| Practice Address |
1050 Silver Dr Traverse City MI 49684-5749 |
| Practice Telephone | 2319472255 |
| Mailing Telephone | 2319472255 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2008-04-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
6301011307 | MI | Behavioral Health & Social Service Providers |
| Street Address |
1050 SILVER DR |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49684-5749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124095971 | Brian Albert Ameel | Psychiatry & Neurology | 1050 Silver Dr, Traverse City, MI 49684-5749 | 2006-03-01 |
| 1841800067 | Janelle Marie Youngdahl | Psychologist | 1050 Silver Dr, Traverse City, MI 49684-5749 | 2020-08-03 |
| 1760033070 | Gregory Schroeder | Social Worker | 1050 Silver Dr, Traverse City, MI 49684-5749 | 2019-09-27 |
| 1235695651 | Faith Jessica Huyck | Nurse Practitioner | 1050 Silver Dr, Traverse City, MI 49684-5749 | 2019-02-11 |
| 1760910624 | Jenna Lang | Social Worker | 1050 Silver Dr, Traverse City, MI 49684-5749 | 2017-05-23 |
| 1437527769 | Jennifer Kraus | Social Worker | 1050 Silver Dr, Traverse City, MI 49684-5749 | 2015-09-03 |
| 1982072245 | Paula Ann Kilcherman | Social Worker | 1050 Silver Dr, Traverse City, MI 49684-5749 | 2015-09-03 |
| 1164821245 | Melanie Villanueva | Social Worker | 1050 Silver Dr, Traverse City, MI 49684-5749 | 2014-08-14 |
| 1962826982 | Susan Kirt | Social Worker | 1050 Silver Dr, Traverse City, MI 49684-5749 | 2014-02-11 |
| 1134558463 | Kristine Elizabeth Wilmoth | Psychologist | 1050 Silver Dr, Traverse City, MI 49684-5749 | 2013-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124641758 | Karen Anne Paulosky | Registered Nurse | 226 S Madison St, Traverse City, MI 49684 | 2020-05-18 |
| 1891314795 | Jaclyn Elizabeth Sylvain | Student in an Organized Health Care Education/Training Program | Munson Family Practice Center, 1400 Medical Campus Drive, Traverse City, MI 49684 | 2020-04-10 |
| 1285282988 | Madelyn Drumm | Dietitian, Registered | 217 S. Madison St., Suite 3022, Traverse City, MI 49684 | 2019-08-27 |
| 1265917686 | Kacie Danielle Heading | Social Worker | 12719 S. West Bay Shore Drive, Suite 9, Traverse City, MI 49684 | 2018-10-02 |
| 1881178325 | Jacob White Ph.d., Pllc | Psychologist | 3537 W. Front Street, Suite F, Traverse City, MI 49684 | 2018-09-20 |
| 1144702572 | Constance Baab, Phd, Lmsw, Pllc | Social Worker | 3301 Veterans Drive Suite 127, Traverse City, MI 49684 | 2018-09-01 |
| 1346732880 | The Skin Cancer and Dermatology Center Plc | Dermatology | 1225 W Front St Ste 2, Traverse City, MI 49684 | 2018-05-31 |
| 1790283851 | Lisa Louise Kleyps | Massage Therapist | 3337 W. South Airport Road #2, Traverse City, MI 49684 | 2018-01-24 |
| 1114447646 | Brittany Alexandra Prior | Physical Therapist | 3899 W Front Sreet, Unit 3, Traverse City, MI 49684 | 2017-06-26 |
| 1568902963 | Jennifer Scott | Behavior Technician | 515 W 14th St Unit D, Traverse City, MI 49684 | 2017-03-03 |
| Find all providers in zip 49684 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922434281 | Samuel George Sarns | Psychologist | 3301 Veterans Dr Ste 126, Traverse City, MI 49684-4564 | 2013-09-18 |
| 1255585436 | Lori Boothroyd | Psychologist | 12935 S West Bay Shore Dr, Suite 200, Traverse City, MI 49684-6298 | 2008-11-14 |
| 1437324191 | Paul Edward Kaschel Jr. | Psychologist | 954 Business Park Dr Ste 5, Traverse City, MI 49686-8763 | 2008-04-24 |
| 1851424766 | Robert Louis Haubold | Psychologist | 1139 E Front St, Traverse City, MI 49686 | 2007-03-13 |
| 1073501110 | Elizabeth Garber Bruning | Psychologist | 10850 E Traverse Hwy, Suite 4000, Traverse City, MI 49684-1364 | 2005-10-12 |
| 1982945093 | Brit Cheryne Lundquist | Psychologist | 105 Hall Street, Traverse City, MI 49686 | 2013-03-14 |
| 1871851683 | Anna Kellogg D'angelo | Psychologist | 512 S Union St, Traverse City, MI 49684-3247 | 2012-04-30 |
| 1790007250 | Marylin Fitzgerald | Psychologist | 512 S Union St, Traverse City, MI 49684-3247 | 2010-02-24 |
| 1649303454 | Linda Kukuk Haubold | Psychologist | 1139 E Front St, Traverse City, MI 49686 | 2007-03-13 |
| 1427181239 | Dr Kukuk & Dr Haubold PC | Psychologist | 1139 E Front St, Traverse City, MI 49686 | 2007-03-13 |
| Find all providers in TRAVERSE CITY | ||||
| City | TRAVERSE CITY |
| Zip Code | 49684 |
Please comment or provide details below to improve the information on MRS. DANA BRODERICK.
| 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.