Provider Profile

Dominique V. Broadnax, PsyD

Unclaimed Profile

About Dr. Broadnax

Dominique V. Broadnax, PsyD is a clinical psychologist based in Boston, MA. Dominique is also listed as specializing in psychologist — clinical. The provider's National Provider Identifier (NPI) is 1679205074.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

Medical School Other Graduated: 2024

Specialty

Credentials & Licensing

MA licenceAs reported to the NPI registry
No. PSY10001846As reported
RI licenceAs reported to the NPI registry
No. PS02359As reported
NPINational Provider Identifier
1679205074Issued 2022

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What kind of doctor is Dr. Broadnax?

Dr. Broadnax is a clinical psychologist in Boston, MA. That is the designation recorded for this NPI in the federal registry.

NPI registry

What is Dr. Broadnax's address?

Dr. Broadnax is listed at 75 Fenwood Rd, Boston, MA 02115. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Dr. Broadnax?

The number on file is (617) 626-9300. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Dr. Broadnax's NPI number?

Dr. Broadnax's National Provider Identifier is 1679205074. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Dr. Broadnax train?

Dr. Broadnax attended Other, graduating in 2024. This comes from the CMS National Downloadable File.

CMS public data

How long has Dr. Broadnax been practicing?

Dr. Broadnax has 2 years experience. Calculated from a graduation year of 2024, reported in the CMS National Downloadable File.

CMS public data

Has Dr. Broadnax confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Dr. Broadnax. If this is you, claiming it is free.

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