Dr. Steven N Broder, PhD
Psychologist in Newton, MA. Individual provider (NPI-1).
NPI number1104987403
StatusActive
Last updated in NPPESOct 12, 2008
Details
- NPI
- 1104987403
- Entity type
- Individual (NPI-1)
- Name
- Dr. Steven N Broder
- Credential
- PhD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 12, 2006
- Last updated
- Oct 12, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 2854 | MA | Yes |
Practice location
853 Dedham StNewton, MA 02459-3413
Phone 617-527-0139
Mailing address
853 Dedham StNewton, MA 02459-3413
Phone 617-527-0139
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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