Broadvistas Psychology LLC
NPI 1114541406ActiveOrganization· Psychologist, Clinical· Denver, CO
Psychologist, Clinical in Denver, Colorado, registered in NPPES in June 2020. The authorized official on file is Thomas Judson Broadhurst, PSYD, Owner.
Overview
| NPI | 1114541406 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 2, 2020 |
| Last updated in NPPES | Jan 6, 2023 |
| Certified by provider | Jan 6, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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