DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MR. THOMAS JUDSON BROADHURST PHD, PSYD

MEDICARE: MR. THOMAS JUDSON BROADHURST PHD, PSYD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program79411CO
2103TC0700XClinical PsychologistPSY.0004234CO

General Provider Information

NPI Number : 1699972323
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. THOMAS JUDSON BROADHURST PHD, PSYD
Provider Business Mailing Address
First Line : 1 KALISA WAY STE 101
Second Line :
City : PARAMUS
State : NJ
Zip : 07652-3508
Country : US
Telephone Number : 888-948-6789
Fax Number : 877-345-3501
Provider Business Practice Location Address
First Line : 3131 S FEDERAL BLVD
Second Line :
City : DENVER
State : CO
Zip : 80236-2713
Country : US
Telephone Number : 888-948-6789
Fax Number : 877-345-3501
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2007
Last Update Date : 07/28/2022

Similar Medicare Providers

1962493809 — BUCKEYE A, LLC
Practice Location Address:
3131 S. FEDERAL BLVD
DENVER, CO
80236-2713
Practice Phone: 303-761-0260
Practice Fax: 303-761-7088
1326368416 — KARI DAHLIN LCSW
Practice Location Address:
3131 S FEDERAL BLVD
DENVER, CO
80236-2713
Practice Phone: 303-278-7418
Practice Fax: 888-341-5050
1437692100 — DAVID JOHNSON
Practice Location Address:
3131 S FEDERAL BLVD
DENVER, CO
80236-2713
Practice Phone: 303-761-0260
Practice Fax:
1689111783 — BUCKEYE A, LLC
Practice Location Address:
3131 S FEDERAL BLVD
DENVER, CO
80236-2713
Practice Phone: 303-761-0260
Practice Fax: 303-796-7088
1699383109 — BROADVISTAS PSYCHOLOGY LLC
Practice Location Address:
3131 S FEDERAL BLVD
DENVER, CO
80236-2713
Practice Phone: 888-948-6789
Practice Fax: 877-345-3501
1720792187 — HEIGHTS COMMUNITY HEALTHCARE, LLC
Practice Location Address:
3131 S FEDERAL BLVD
DENVER, CO
80236-2713
Practice Phone: 303-761-0260
Practice Fax:

Directions to “ MR. THOMAS JUDSON BROADHURST PHD, PSYD” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.