Matthew Stuart Broudy, PHD - Psychologist in Lake Ridge, VA

Matthew Stuart Broudy, PHD is a Psychologist - Clinical based in Lake Ridge, Virginia. Matthew Stuart Broudy is licensed to practice in Virginia (license number 0810003712) and his current practice location is 2239f Tacketts Mill Drive, Lake Ridge, Virginia. He can be reached at his office (for appointments etc.) via phone at (703) 490-0336.

NPI number for Matthew Stuart Broudy is 1649348145 and his current mailing address is 2239f Tacketts Mill Drive, Lake Ridge, Virginia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1649348145.

Contact Information

Matthew Stuart Broudy, PHD
2239f Tacketts Mill Drive,
Lake Ridge, VA 22192
(703) 490-0336
(703) 490-4525

Map and Direction




Healthcare Provider's Profile

Full NameMatthew Stuart Broudy
GenderMale
SpecialityPsychologist - Clinical
Location2239f Tacketts Mill Drive, Lake Ridge, Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1649348145
  • Provider Enumeration Date: 12/01/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Matthew Stuart Broudy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649348145NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 0810003712 (Virginia)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. Matthew Stuart Broudy 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 AddressPractice Location Address
Matthew Stuart Broudy, PHD
2239f Tacketts Mill Drive,
Lake Ridge, VA 22192

Ph: (703) 490-0336
Matthew Stuart Broudy, PHD
2239f Tacketts Mill Drive,
Lake Ridge, VA 22192

Ph: (703) 490-0336

Reviews and Comments


Psychologist in Lake Ridge, VA

Dr. Bita Kianimanesh, PSYD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 2239f Tacketts Mill Dr, Lake Ridge, VA 22192
Phone: 703-490-0336    
Donna L Price, LPC
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 2239f Tacketts Mill Dr, Psychological & Life Skills Assoc Pc, Lake Ridge, VA 22192
Phone: 703-490-0336    Fax: 703-490-4525
Kimberly Strand, PHD
Psychologist
Medicare: Medicare Enrolled
Practice Location: 2239f Tacketts Mill Dr, Psychological & Life Skills Assoc Pc, Lake Ridge, VA 22192
Phone: 703-490-0336    Fax: 703-490-4525
Stephanie Fellenberg, PSYD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 2239f Tacketts Mill Dr, Psychological & Life Skills Assoc Pc, Lake Ridge, VA 22192
Phone: 703-490-0336    Fax: 703-490-4525
Dr. Karen Deabbe Bagley, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 2227 Old Bridge Rd Ste 170, Lake Ridge, VA 22192
Phone: 571-412-3500    Fax: 571-412-3600

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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