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NPI · 1679205074 · NPPES-sourced

Dominique Broadnax PSYD

ActiveClinical Psychologist
NPI Number
1679205074
Type 1 · Individual
Taxonomy Code
103TC0700X
Contact
(617) 626-9300
License MA · PSY10001846
Last Updated
Enumerated
Primary practice addressMA · 02115-6103
75 Fenwood RdBoston, MA 02115-6103
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About this NPIWhat this record shows.

NPI 1679205074 is registered to Dominique Broadnax PSYD, a Clinical Psychologist practising at 75 Fenwood Rd in Boston, Massachusetts. Clinical Psychologist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Dominique Broadnax PSYD has been enumerated in the National Provider Identifier (NPI) registry since 2022.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Dominique Broadnax PSYD accepts. To confirm in-network status with your specific health plan, contact Dominique Broadnax PSYD directly at (617) 626-9300.

Frequently asked

Yes. NPI 1679205074 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Clinical Psychologist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (617) 626-9300.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Dominique Broadnax PSYD is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy103TC0700X
Last updated
Enumerated
StatusActive
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