DR. MICHAEL S. BRODER (NPI# 1003031154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003031154 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL S. BRODER |
| Credential | PH.D. |
| Practice Address |
1420 Locust St 7g Philadelphia PA 19102-4223 |
| Practice Telephone | 2155457000 |
| Practice Fax Number | 2155457011 |
| Mailing Telephone | 2155457000 |
| Mailing Fax Number | 2155457011 |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PS003069-L | PA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356574115 | Michael Broder | Obstetrics & Gynecology | 280 S Beverly Dr, Suite 404, Beverly Hills, CA 90212-3907 | 2009-08-27 |
| 1225104136 | Michael Broder | Optometrist | 2165 Tamiami Trl S, Venice, FL 34293-5034 | 2006-11-24 |
| 1669420832 | Michael Sylvan Broder | Radiology | 908 Huntsford Ter, Thomasville, NC 27360-2506 | 2006-05-04 |
| 1700415072 | Michael Broder | Student in an Organized Health Care Education/Training Program | 1001 Potrero Ave Bldg 80-83, San Francisco, CA 94110-3518 | 2020-04-07 |
| 1104830348 | Michael H. Broder | Specialist | 2034 Chestnut St, Montgomery, AL 36106-1111 | 2006-07-27 |
| Street Address |
1420 LOCUST ST 7G |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19102-4223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760485742 | Harry P Silverstein | Dentist | 1420 Locust St, Ste 120, Philadelphia, PA 19102-4204 | 2005-05-24 |
| 1861850935 | Maeghan Christie | Nurse Practitioner | 1420 Locust St, Philadelphia, PA 19102-4223 | 2016-02-04 |
| 1174956213 | Alcorn Chiropractic Inc. | Chiropractor | 1420 Locust St, Suite R5, Philadelphia, PA 19102-4223 | 2013-08-13 |
| 1023357498 | Ryan Patrick Alcorn | Chiropractor | 1420 Locust St, Philadelphia, PA 19102-4223 | 2013-02-05 |
| 1457633810 | Stacey Blair Friedman | Occupational Therapist | 1420 Locust St, Apt 20j, Philadelphia, PA 19102-4223 | 2011-09-12 |
| 1275834889 | John Burns | Physician Assistant | 1420 Locust St, Philadelphia, PA 19102-4223 | 2010-11-12 |
| 1407041429 | Padma Raman | Dentist | 1420 Locust St, Suite 120, Philadelphia, PA 19102-4223 | 2007-09-12 |
| 1932326428 | Alan Mitchell Atlas | Dentist | 1420 Locust St, Suite 120, Philadelphia, PA 19102-4223 | 2007-04-19 |
| 1023126737 | Donald W. Lavan, Md, PC | Internal Medicine | 1420 Locust St, Suite 100, Philadelphia, PA 19102-4223 | 2006-08-25 |
| 1720035934 | Comer Chiropractic Inc. | Chiropractor | 1420 Locust St, Suite R5, Philadelphia, PA 19102-4223 | 2006-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821650847 | Alexandre Mason Sharma | Student in an Organized Health Care Education/Training Program | 200 N 16th St Apt 1318, Philadelphia, PA 19102 | 2019-06-29 |
| 1720648223 | Ali Haydar | Internal Medicine | 245 N. 15th St, 6th Floor, Ms 42, Philadelphia, PA 19102 | 2019-06-17 |
| 1124688734 | Aakash Patel | Internal Medicine | Drexel University College of Medicine-internal Medicine, 245 N. 15th St. 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-17 |
| 1245898170 | Parth Javia | Internal Medicine | 245 N. 15th St., 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-05 |
| 1588120968 | John Granger II | Social Worker | 1500 Market St. 12th Floor Suite 75, Philadelphia, PA 19102 | 2019-02-11 |
| 1750851390 | Philadelphia Pain and Neurology Institute, LLC | Chiropractor | 1528 Walnut Street Suite 620, Philadelphia, PA 19102 | 2018-11-27 |
| 1770076465 | Sarthi Dalal | Internal Medicine | 245 N 15th St, Fl 6, Ms 427, Philadelphia, PA 19102 | 2018-06-07 |
| 1255824033 | Joyce Nimo-boampong | Internal Medicine | Drexel University College of Medicine, 245 N 15th St, 6th Floor,ms 427, Philadelphia, PA 19102 | 2018-06-07 |
| 1134625692 | Emma Rose Gormley | Social Worker | 1601 Walnut St Ste 1516, Philadelphia, PA 19102 | 2018-04-03 |
| 1851808497 | Sunish Shah | Pharmacist | 230 N Broad St, Philadelphia, Pa 19102, Philadelphia, PA 19102 | 2018-01-04 |
| Find all providers in zip 19102 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578937 | Margaret Edwards | Psychologist | 110 S 20th St Ste 206, Philadelphia, PA 19103-4486 | 2020-11-03 |
| 1699374843 | Elizabeth Ann Johnson | Psychologist | 3640 Stanton St Apt 107, Philadelphia, PA 19129-1683 | 2020-10-20 |
| 1689272577 | Katherine Piselli | Psychologist | 3401 Market St Ofc 3216, Philadelphia, PA 19104-3318 | 2020-10-13 |
| 1912518226 | Karen Dybner-madero | Psychologist | 2201 Pennsylvania Avenue, The Parkway House, Suite 101, Philadelphia, PA 19130 | 2020-08-11 |
| 1659980621 | Corinne Masur | Psychologist | 1601 Walnut St Ste 1408, Philadelphia, PA 19102-2909 | 2020-07-27 |
| 1730798067 | Amanda Marie Large | Psychologist | 1516 N 5th St Unit 401, Philadelphia, PA 19122-3679 | 2020-07-22 |
| 1295355543 | Jennifer Ann Engelhardt | Psychologist | 8201 Henry Ave Apt Q15, Philadelphia, PA 19128-2248 | 2020-04-16 |
| 1336778315 | Carly Mirit Gerbi | Psychologist | 2227 Delancey Pl, Philadelphia, PA 19103-6549 | 2020-04-02 |
| 1811530512 | Tower Drexel Academic Medical Group LLC | Psychologist | 1427 Vine St Fl 1, Philadelphia, PA 19102-1031 | 2019-10-25 |
| 1003459702 | Tower Drexel Academic Medical Group LLC | Psychologist | 4700 Wissahickon Ave Ste C102, Philadelphia, PA 19144-4248 | 2019-10-25 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19102 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.