DONNA K. BROSHEK (NPI# 1790819910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790819910 |
| Entity Type | Individual |
| Full Name | DONNA K. BROSHEK |
| Credential | PH.D. |
| Practice Address |
1300 Jefferson Park Ave Charlottesville VA 22903-3363 |
| Mailing Address |
Po Box 9007 Charlottesville VA 22906-9007 |
| Practice Telephone | 4349242718 |
| Practice Fax Number | 4342436546 |
| Mailing Telephone | 4342951000 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-10-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 0810002525 | VA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 007709854 | 05 |
| Street Address |
1300 JEFFERSON PARK AVE |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22903-3363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477555399 | Bruce C Carter | Ophthalmology | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2005-08-11 |
| 1760089981 | Loretta Raiford | Internal Medicine | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2020-10-01 |
| 1588270342 | Rachel K Murray | Dietitian, Registered | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2020-09-17 |
| 1992321616 | Kristina Marie Creadore | Optometrist | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2020-06-18 |
| 1215558762 | Allison Gossen | Genetic Counselor, MS | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2020-05-06 |
| 1508409061 | Molly Stevenson Bailey | Dietitian, Registered | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2019-10-28 |
| 1497398994 | Rebecca Shea Turner | Dietitian, Registered | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2019-10-28 |
| 1215585443 | Katherine Emma Connell | Nurse Practitioner | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2019-08-30 |
| 1639724263 | Casey Erin Cavanagh | Psychologist | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2019-08-09 |
| 1679128482 | Jia Yu Liu | Optometrist | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2019-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326671009 | Ticynn Symone London | Specialist/Technologist | 723 Retriever Run, Ticynn London, Charlottesville, VA 22903 | 2020-02-20 |
| 1043853542 | Elaine Mccall | Dietitian, Registered | 1335 Jefferson Park Ave, Charlottesville, VA 22903 | 2019-10-28 |
| 1205480753 | Sean Robert Bennett | Clinic/Center | 433 Ednam Drive, Charlottesville, VA 22903 | 2019-08-01 |
| 1922562818 | Lynn Owen Taggart | Student in an Organized Health Care Education/Training Program | 300 Grassmere Rd, Charlottesville, VA 22903 | 2019-01-25 |
| 1831636166 | Sarah Michelle Richin | Social Worker | 709 A West Main St, Charlottesville, VA 22903 | 2017-01-25 |
| 1962868851 | Kelly Stewart Maurer | Counselor | 3101 Fontaine Avenue, Charlottesville, VA 22903 | 2016-01-07 |
| 1831592039 | Bearley Dental PC | Dentist | 901 Preston Ave, Suite 200, Charlottesville, VA 22903 | 2014-10-01 |
| 1730437823 | Frances Eva Demmerle | Neuromusculoskeletal Medicine & OMM | 1149 Rose Hill Dr., Charlottesville, VA 22903 | 2012-08-21 |
| 1801142229 | University of Virginia | General Acute Care Hospital | 1925 Beechcrest Court, Charlottesville, VA 22903 | 2012-08-03 |
| 1407123516 | Laura P. Handler | Counselor | 500 Old Lynchburg Rd., Region Ten Csb, Charlottesville, VA 22903 | 2011-11-18 |
| Find all providers in zip 22903 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821396920 | James Forrest Sanders | Clinical Neuropsychologist | 1960 Lewis Mountain Rd, Unit 1, Charlottesville, VA 22903-2463 | 2011-03-14 |
| 1427124825 | Victoria Pezzullo Tate | Clinical Neuropsychologist | 420 Third St Ne, Charlottesville, VA 22901 | 2006-11-28 |
| 1700825239 | Matthew Williams Bowen | Clinical Neuropsychologist | 6 Old Farm Rd, Charlottesville, VA 22903-4722 | 2006-06-06 |
| 1326009242 | Katherine L Willis | Clinical Neuropsychologist | 313 Steephill St, Charlottesville, VA 22902-5853 | 2006-03-30 |
| 1063918530 | Stephanie L Lenox | Clinical Neuropsychologist | 1215 Lee St, Charlottesville, VA 22908-0816 | 2018-04-03 |
| 1285000315 | Joyce Suh | Clinical Neuropsychologist | 1221 Lee St, Charlottesville, VA 22908-1534 | 2015-08-12 |
| 1063811487 | Laurie Brenner | Clinical Neuropsychologist | 1221 Lee St, Charlottesville, VA 22908-0001 | 2014-08-21 |
| 1962794685 | Lauren Ashley Chandler | Clinical Neuropsychologist | 1215 Lee St, Box 800394, Charlottesville, VA 22908-0816 | 2011-05-13 |
| 1992839534 | Jeffrey T. Barth | Clinical Neuropsychologist | Uva Hospital W, Hospital Drive, 3rd Floor, Charlottesville, VA 22908-0001 | 2007-03-15 |
| 1174692792 | Kathleen L. Fuchs | Clinical Neuropsychologist | 1221 Lee St, Charlottesville, VA 22908-0001 | 2006-11-07 |
| Find all providers in CHARLOTTESVILLE | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22903 |
Please comment or provide details below to improve the information on DONNA K. BROSHEK.
| 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.