DR. JOHN KING BROUSSARD (NPI# 1992844476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992844476 |
| Entity Type | Individual |
| Full Name | DR. JOHN KING BROUSSARD |
| Credential | ED.D. |
| Practice Address |
1600 Airport Fwy Suite 322 Bedford TX 76022-6850 |
| Practice Telephone | 8175718463 |
| Practice Fax Number | 8175712280 |
| Mailing Telephone | 8175718463 |
| Mailing Fax Number | 8175712280 |
| Enumeration Date | 2007-02-05 |
| 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 | 22828 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013271196 | John Robert Broussard | Counselor | 2711 Edgewood Dr, Placerville, CA 95667-3409 | 2012-07-03 |
| 1174839161 | John Broussard | Family Medicine | 111 2nd Ave Ne Ste 1401, St Petersburg, FL 33701-3480 | 2010-08-27 |
| 1750696639 | John Edward Broussard | Pharmacist | 105 Cities Service Hwy, Sulphur, LA 70663-5419 | 2010-08-16 |
| 1326509977 | John Broussard | Student in an Organized Health Care Education/Training Program | 1430 Tulane Ave # 8679, New Orleans, LA 70112-2632 | 2019-03-27 |
| 1033645494 | John Joseph Broussard | Physical Therapist | 2115 Dulles Dr, Lafayette, LA 70506-2652 | 2017-05-04 |
| 1063648889 | John Broussard | Physical Therapist | 620 N Morrison Blvd Ste G, Hammond, LA 70401-2312 | 2009-06-08 |
| 1548462898 | John Broussard | Physical Therapist | 4412 N Davis Hwy, Pensacola, FL 32503-2756 | 2007-05-31 |
| Street Address |
1600 AIRPORT FWY SUITE 322 |
| City | BEDFORD |
| State | TX |
| Zip Code | 76022-6850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205845450 | Dwight Edwin Morgan | Counselor | 1600 Airport Fwy, Ste. 320, Bedford, TX 76022-6850 | 2006-08-05 |
| 1134500416 | Medina Counseling Group | Counselor | 1600 Airport Fwy, Ste. 318, Bedford, TX 76022-6850 | 2015-06-12 |
| 1629499900 | Ft. Worth Home Care Inc | In Home Supportive Care | 1600 Airport Fwy, Suite 503, Bedford, TX 76022-6850 | 2014-01-03 |
| 1699914796 | Debra Jean Hilliard-jones | Dietitian, Registered | 1600 Airport Fwy, Suite 310, Bedford, TX 76022-6850 | 2009-02-12 |
| 1376606301 | Linda Teal Willoughby | Counselor | 1600 Airport Fwy, Suite 334, Bedford, TX 76022-6850 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376155754 | Jacquelyn H Holloway | Registered Nurse | 820 Uptown Blvd, Bedrord, TX 76022 | 2020-08-18 |
| 1861972556 | Red Diamond Medical Group Pllc | Internal Medicine | 2700 Tibbets Dr # 301, Bedford, TX 76022 | 2018-08-21 |
| 1649761958 | Florine Karimi Mati | Behavioral Analyst | 1413 Tennis Dr, Bedford, TX 76022 | 2018-05-22 |
| 1760836704 | Healing Hands Senior Care Service | Technician | 1152 High Point Rd., Bedford, TX 76022 | 2016-04-15 |
| 1972965283 | Emily Vandoren | Physical Therapist | 1705 Forest Ridge Drive, Bedford, TX 76022 | 2016-03-25 |
| 1396123949 | Decorla Holmes | Adult Companion | 1152 Highpoint Rd., Bedford, TX 76022 | 2015-05-15 |
| 1629409198 | Susan Yvonne Pelletier | Durable Medical Equipment & Medical Supplies | 1600 Central Drive, Suite 157, Bedford, TX 76022 | 2013-12-09 |
| 1649565953 | Alisa Thamwiwat | Internal Medicine | 1604 Hospital Pkwy Ste 301, Bedford, TX 76022 | 2011-06-15 |
| 1528227576 | Ft. Worth Home Care Inc | Home Health | 1600 Airport Freeway, Suite 503, Bedford, TX 76022 | 2008-06-05 |
| 1225242886 | Bedford Family Medicine, Pa | Family Medicine | 1701 Forest Ridge Dr., Bedford, TX 76022 | 2007-05-10 |
| Find all providers in zip 76022 | ||||
| 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 |
|---|---|---|---|---|
| 1578161063 | Amanda Robyn Schwartz | Psychologist | 11 Appleby Dr, Bedford, NY 10506-1340 | 2020-10-15 |
| 1912519802 | Monica Munoz | Psychologist | 1204 Greendale Dr, Bedford, TX 76022-7789 | 2020-08-20 |
| 1609369701 | Katharine Smidt | Psychologist | 61 Springs Rd, Bedford, MA 01730 | 2018-06-13 |
| 1255820593 | Lisa Pirsch Sackett | Psychologist | 75 Fletcher Rd, Bedford, MA 01730-1609 | 2018-05-02 |
| 1396176251 | Erin Mckenna Hirsch | Psychologist | 16 Rachel Way, Bedford, NH 03110-4125 | 2013-12-03 |
| 1154669430 | Moss Group Inc | Psychologist | 363 Great Rd Ste 210, Bedford, MA 01730-2832 | 2013-01-22 |
| 1912177007 | Rebecca Stevens Coleman | Psychologist | 100 E Pitt St Ste 202, Bedford, PA 15522-1358 | 2008-03-05 |
| 1831217801 | Susan D Gifford | Psychologist | 3508 Highway 121, Bedford, TX 76021 | 2007-03-27 |
| 1922149186 | Carol Ann Langelier | Psychologist | 22 Briston Ct, Bedford, NH 03110-6529 | 2007-02-09 |
| 1770635732 | Norman Martin Brier | Psychologist | 211 Bedford Banksville Rd, Bedford, NY 10506-1918 | 2007-01-18 |
| Find all providers in BEDFORD | ||||
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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.