Michael David Brodeur, PSY.D.
NPI 1225375165ActiveIndividual· Psychologist, Clinical· Pullman, WA
Psychologist, Clinical (PSY.D.) with Providence Behavioral Health Associates Inc, practicing in Pullman, Washington. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1225375165 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSY.D. |
| Sole proprietor | No |
| NPI issued | Jan 11, 2013 |
| Last updated in NPPES | Jan 11, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | PY60297192 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (RI) |
|---|
Education and affiliations
| Graduation year | 2009 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Providence Behavioral Health Associates IncProvidence, RI · 17 clinicians
Other clinical psychologists in Pullman
- 1215125562
- 1275239949
- 1811695737
- 1891992293
- 1255873857
- 1336201029
- 1306428016
- 1427033323
- 1770153801
- 1831857879
- 1629193198
- 1568705960
All 15 clinical psychologists in Pullman · All clinical psychologists in Washington