Family Resource Center 0384
NPI 1316083728ActiveOrganization· Psychologist· Phoenix, AZ
Psychologist in Phoenix, Arizona, registered in NPPES in January 2007. The authorized official on file is Dennis E. Broadbent, PH.D., Psychologist (Director).
Overview
| NPI | 1316083728 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 30, 2007 |
| Last updated in NPPES | Jun 11, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 903 | AZ |
| Counselor | 101Y00000X | LPC2693 | AZ |
| Marriage & Family Therapist | 106H00000X | LMFT10254 | AZ |
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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