Mr Taylor Broughton, PSYD is a
Psychologist - Clinical based in Redlands, California. Mr Taylor Broughton is licensed to practice in California (license number PSY33885) and his current practice location is
26001 Redlands Blvd, Redlands, California. He can be reached at his office (for appointments etc.) via phone at
(909) 825-7084.
NPI number for Mr Taylor Broughton is 1801285903 and his current mailing address is 26001 Redlands Blvd, Redlands, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1801285903.
Healthcare Provider's Profile
| Full Name | Mr Taylor Broughton |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | 26001 Redlands Blvd, Redlands, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1801285903
- Provider Enumeration Date: 01/13/2015
- Last Update Date: 05/09/2025
Medical Identifiers
Medical identifiers for Mr Taylor Broughton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801285903 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | PSY33885 (California) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY33885 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Taylor Broughton is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Taylor Broughton, PSYD
26001 Redlands Blvd,
Redlands, CA 92373-7762
Ph: (909) 825-7084 | Mr Taylor Broughton, PSYD
26001 Redlands Blvd,
Redlands, CA 92373-7762
Ph: (909) 825-7084 |
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