DR. DEBRA JEAN BRODERICK PYS.D.
NPI 1639204423
Psychologist - Counseling in Saint Paul, MN

NPI Status: Active since February 22, 2007

Contact Information

357 KELLOGG BLVD E
SAINT PAUL, MN
ZIP 55101
Phone: (651) 295-1422

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  • Individual
  • Female
  • Psychologist
  • Counseling

About DEBRA BRODERICK

This page provides the complete NPI Profile along with additional information for Debra Broderick, a provider established in Saint Paul, Minnesota with a medical specialization in Psychologist, focusing in counseling . The healthcare provider is registered in the NPI registry with number 1639204423 assigned on February 2007. The practitioner's primary taxonomy code is 103TC1900X with license number 4744 (MN). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1639204423
Provider Name
DR. DEBRA JEAN BRODERICK PYS.D.
Gender
Female
Entity Type
Individual
Location Address
357 KELLOGG BLVD E SAINT PAUL, MN 55101
Location Phone
(651) 295-1422
Mailing Address
1434 SIMPSON ST SAINT PAUL, MN 55108
Mailing Phone
(651) 645-3998
Is Sole Proprietor?
Yes
Enumeration Date
02-22-2007
Last Update Date
07-08-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Counseling

Taxonomy Code
103TC1900X
Type
Behavioral Health & Social Service Providers
License No.
4744
License State
MN
Taxonomy Description
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1639204423
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
266940844
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 4 + 0 + 8 + 4 + 4 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1639204423 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1790986669DIANNE L. MEIXNER PSYCHOTHERAPY P.A.
Organization
Social Worker (Clinical)357 KELLOGG BLVD E
SAINT PAUL, MN 55101
(651) 287-0846
1922407972SKIPPED PARTS LLC
Organization
Community/Behavioral Health357 KELLOGG BLVD E
SAINT PAUL, MN 55101
(612) 578-2167
1841689312 JACQUELINE SEAVEY MA, AT, LPCC
Individual
Counselor (Mental Health)357 KELLOGG BLVD E
SAINT PAUL, MN 55101
(612) 578-2167
1336548387 KATHERINE FARRINGTON MA, LPCC
Individual
Counselor (Professional)357 KELLOGG BLVD E
SAINT PAUL, MN 55101
(952) 221-2489
1568876381 MARIE GRACE LMFT
Individual
Marriage & Family Therapist357 KELLOGG BLVD E
SAINT PAUL, MN 55101
(612) 578-2167
1447477518DR. MIC HUNTER PSY.D.
Individual
Psychologist (Clinical)357 KELLOGG BLVD E
SAINT PAUL, MN 55101
(651) 224-4335
1659190445 MEGAN SNYDER
Individual
Counselor (Mental Health)357 KELLOGG BLVD E
SAINT PAUL, MN 55101
(763) 363-3036

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639204423, enumerated in the NPI registry as an "individual" on February 22, 2007

The provider is located at 357 Kellogg Blvd E Saint Paul, Mn 55101 and the phone number is (651) 295-1422

The provider's speciality is Psychologist with taxonomy code 103TC1900X with a focus in Counseling

This NPI record was last updated on February 22, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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