MEGAN BRODERICK (NPI# 1750903837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750903837 |
| Entity Type | Individual |
| Full Name | MEGAN BRODERICK |
| Credential | MFT |
| Practice Address |
6110 Beaumont Ave La Jolla CA 92037-6746 |
| Practice Telephone | 9179744370 |
| Mailing Telephone | 9179744370 |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2020-05-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 95730 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811467814 | Megan Broderick | Social Worker | 1101 Conn Ave Nw Ste 450, Washington, DC 20036-4359 | 2018-12-03 |
| Street Address |
6110 BEAUMONT AVE |
| City | LA JOLLA |
| State | CA |
| Zip Code | 92037-6746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982221768 | Equip Health Medical, PC | Clinic/Center | 2674 Costebelle Drive, Unit A, La Jolla, CA 92037 | 2020-06-29 |
| 1134745474 | Brenda Kay Wiederhold | Psychologist | Virtual Reality Medical Center, 9834 Genesee Avenue, Suite 427, La Jolla, CA 92037 | 2020-06-23 |
| 1316581598 | Kathleen M Blechertas | Physical Therapist | 9888 Genesee, Lj19, La Jolla, CA 92037 | 2019-10-31 |
| 1316592876 | Kevin Yanyan Li | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Drive, Mc7400, La Jolla, CA 92037 | 2019-08-01 |
| 1407400542 | Juan J Salmeron | Dentist | Callejin Internacional 351 L2, Los Algodones, BAJA CALIFORNIA 92037 | 2019-07-26 |
| 1609428598 | Nicole Whitney Mark | Physician Assistant | 8103 Caminito Sonoma, La Jolla, CA 92037 | 2019-07-11 |
| 1700357936 | Cecelia Rose Greene/pendzich | Mastectomy Fitter | 7760 Fay Ave, Suite M., La Jolla, CA 92037 | 2018-12-16 |
| 1740765890 | Jeenal Ankit Gordhandas | Student in an Organized Health Care Education/Training Program | East Campus Office Building, Medical Center Dr, La Jolla, CA 92037 | 2018-09-25 |
| 1306325220 | Lisa Beth Perlov Marks | Marriage & Family Therapist | 7734 Hershel Avenue, Suite O, La Jolla, CA 92037 | 2018-08-10 |
| 1023596731 | Uc San Diego, Pathology Dept | Pathology | East Campus Office Building, Medical Center Dr, San Diego, CA 92037 | 2018-08-03 |
| Find all providers in zip 92037 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962013383 | Emily Kron | Marriage & Family Therapist | 8950 Villa La Jolla Dr Ste A109, La Jolla, CA 92037-1706 | 2020-08-10 |
| 1023591740 | Natalie Davila Steele | Marriage & Family Therapist | 7730 Herschel Ave Ste K, La Jolla, CA 92037-4432 | 2018-09-09 |
| 1306325220 | Lisa Beth Perlov Marks | Marriage & Family Therapist | 7734 Hershel Avenue, Suite O, La Jolla, CA 92037 | 2018-08-10 |
| 1740709799 | Bryson Greaves | Marriage & Family Therapist | 7946 Ivanhoe Ave Ste 203, La Jolla, CA 92037-4517 | 2017-09-11 |
| 1487096046 | Craig Lambert Therapy | Marriage & Family Therapist | 7791 Starlight Dr, La Jolla, CA 92037-3543 | 2013-07-24 |
| 1790025385 | Julie Shmalo Datnow | Marriage & Family Therapist | 8717 Cliffridge Ave, La Jolla, CA 92037-2115 | 2013-02-19 |
| 1861743106 | Jennifer Warkentin | Marriage & Family Therapist | 7757 Herschel Ave, La Jolla, CA 92037-4406 | 2012-09-26 |
| 1720346604 | Sandra E. Jacobs | Marriage & Family Therapist | 3145 Morning Way, La Jolla, CA 92037-1908 | 2012-04-27 |
| 1861650624 | Paige Victoria Sloane | Marriage & Family Therapist | 7924 Ivanhoe, La Jolla, CA 92037 | 2008-05-29 |
| 1972782258 | Crystal Durden | Marriage & Family Therapist | 1150 Silverado St, La Jolla, CA 92037-4524 | 2007-11-02 |
| Find all providers in LA JOLLA | ||||
Please comment or provide details below to improve the information on MEGAN BRODERICK.
| 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.