BROADVISTAS PSYCHOLOGY LLC (NPI# 1679197065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679197065 |
| Entity Type | Organization |
| Organization Name | BROADVISTAS PSYCHOLOGY LLC |
| Practice Address |
12230 Lioness Way Parker CO 80134-5603 |
| Mailing Address |
4860 Robb St Ste 201 Wheat Ridge CO 80033-2162 |
| Practice Telephone | 8889486789 |
| Practice Fax Number | 8773453501 |
| Mailing Telephone | 3032787418 |
| Mailing Fax Number | 8773453501 |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2020-06-02 |
| Authorized Official Name | THOMAS JUDSON BROADHURST (OWNER) |
| Authorized Official Telephone | 3032787418 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699383109 | Broadvistas Psychology LLC | Psychologist | 1919 Quentin St, Aurora, CO 80045-7125 | 2020-07-21 |
| 1528682580 | Broadvistas Psychology LLC | Psychologist | 13525 E 23rd Ave, Aurora, CO 80045-7450 | 2020-06-04 |
| 1134743529 | Broadvistas Psychology LLC | Psychologist | 14555 E Hampden Ave, Aurora, CO 80014-5041 | 2020-06-02 |
| 1114541406 | Broadvistas Psychology LLC | Psychologist | 8550 E Lowry Blvd, Denver, CO 80230-6932 | 2020-06-02 |
| 1326422759 | Broadvistas Psychology LLC | Psychologist | 1919 Quentin St, Aurora, CO 80045-7125 | 2015-07-15 |
| Street Address |
12230 LIONESS WAY |
| City | PARKER |
| State | CO |
| Zip Code | 80134-5603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720049604 | John D Morrison | Family Medicine | 12230 Lioness Way, Parker, CO 80134 | 2006-03-30 |
| 1518430057 | Suzette Marie Allen | Physical Therapist | 12230 Lioness Way, Parker, CO 80134-5603 | 2019-01-08 |
| 1255803375 | Lauren Dillman | Nurse Practitioner | 12230 Lioness Way, Parker, CO 80134-5603 | 2018-12-31 |
| 1588132963 | Alyssa Marie Ensign | Nurse Practitioner | 12230 Lioness Way, Parker, CO 80134-5603 | 2018-11-05 |
| 1871079103 | Kathryn Stone | Nurse Practitioner | 12230 Lioness Way, Parker, CO 80134 | 2018-07-19 |
| 1679075394 | Gabriele Seffert | Speech-Language Pathologist | 12230 Lioness Way, Parker, CO 80134-5603 | 2018-03-08 |
| 1396251518 | Yekaba K Ayelegne | Nurse Practitioner | 12230 Lioness Way, Parker, CO 80134 | 2017-12-26 |
| 1609386440 | Gibril Kelleh Kargbo | Nurse Practitioner | 12230 Lioness Way, Parker, CO 80134 | 2017-10-06 |
| 1629515119 | Amy Shen Soneson | Physician Assistant | 12230 Lioness Way, Parker, CO 80134-5603 | 2017-01-23 |
| 1750827358 | Julia Girouard | Nurse Practitioner | 12230 Lioness Way, Parker, CO 80134 | 2017-01-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821560731 | Michaela Cox | Massage Therapist | 18551 E Mainstreet #103, Suite 15, Parker, CO 80134 | 2018-12-18 |
| 1376038315 | Danielle Rene Adamson | Audiologist | 11211 South Bransfeltd Road, Parker, CO 80134 | 2018-06-22 |
| 1316431042 | Michael Petrie | Massage Therapist | 10841 S Crossroads Drive, Suite 17, Parker, CO 80134 | 2018-06-16 |
| 1942729942 | Anthony Bricker | Specialist/Technologist | 5303 Territorial Street, Parker, CO 80134 | 2017-09-12 |
| 1609394238 | Mountain Peak Counseling | Counselor | 12760 Stroh Ranch Way Suite 201, Parker, CO 80134 | 2017-09-04 |
| 1013448497 | Cvs Pharmacy, Inc | Durable Medical Equipment & Medical Supplies | 16920 Lincoln Ave, Parker, CO 80134 | 2017-03-27 |
| 1043759921 | Timothy Michael Loar | Physical Therapist | 19964 E. Hilltop Rd, Suite B, Parker, CO 80134 | 2017-02-13 |
| 1851842835 | Carla S Bradburn | Counselor | 9581 Pearl Circle, #105, Parker, CO 80134 | 2016-10-14 |
| 1942653258 | West Coast Neuro | Specialist/Technologist, Other | 10940 S Parker Rd # 503, Parker, CO 80134 | 2016-07-21 |
| 1487036950 | Amber Abrams | Nurse Practitioner | 4251 Twenty Mile Rd, Parker, CO 80134 | 2015-06-22 |
| Find all providers in zip 80134 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477170058 | The Denver Technology Group, Inc | Psychologist | 19755 E Pikes Peak Ave Ste 202, Parker, CO 80138-7439 | 2020-06-30 |
| 1801355169 | Sadari Medical | Psychologist | 9301 Las Ramblas Ct Unit D, Parker, CO 80134-4227 | 2019-03-17 |
| 1003268491 | Linda Tobey Phd LLC | Psychologist | 6768 S Trailway Cir, Parker, CO 80134-6244 | 2016-07-08 |
| 1205111416 | Keri Anne Israelski Scheirman | Psychologist | 19563 East Mainstreet, Suite 205, Parker, CO 80138 | 2011-10-19 |
| 1720243371 | Kathleen A. Sandal-miller | Psychologist | 19755 E Pikes Peak Ct, Suite 202, Parker, CO 80138-7414 | 2008-07-23 |
| 1760416390 | Raymond Gerald Anderson | Psychologist | Parker Indian Health Center, 12033 Agency Rd, Parker, AZ 85344 | 2006-07-10 |
| 1124669817 | Tori K Knox-rice | Psychologist | 9398 Crown Crest Blvd, Parker, CO 80138-8573 | 2019-10-03 |
| 1235413931 | Erika Qualls Laing | Psychologist | 16154 Rock Crystal Dr, Parker, CO 80134-3305 | 2011-09-29 |
| 1760707426 | Katie Veronica Olson | Psychologist | 16154 Rock Crystal Dr, Parker, CO 80134 | 2010-04-06 |
| 1710216387 | Legacy Comprehensive Counseling & Consulting, Pllc | Psychologist | 19751 E Mainstreet, Suite 215, Parker, CO 80138-7378 | 2009-12-10 |
| Find all providers in PARKER | ||||
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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.