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Darrell Broaddus, PH.D.
NPI 1265616973 · Clinical Psychologist · La Mesa, CA
Darrell Broaddus, PH.D. is a Clinical Psychologist provider in La Mesa, CA (NPI 1265616973).
Provider details
- NPI number
- 1265616973
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- PSY 20101 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8029 La Mesa Blvd
Suite a
La Mesa, CA 91941-6434
Phone: (619) 668-0600
Fax: (619) 466-2662
Street-level locationGet directions
Mailing address
6461 Aspen Gardens Way
Citrus Heights, CA 95621-5626
Registry dates
- Enumerated
- 2007-12-18
- Last updated
- 2007-12-18
Frequently asked questions
- What is Darrell Broaddus's NPI number?
- Darrell Broaddus's National Provider Identifier (NPI) is 1265616973, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Darrell Broaddus's specialty?
- Darrell Broaddus is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Darrell Broaddus located?
- Darrell Broaddus's practice location on file with NPPES is 8029 La Mesa Blvd, La Mesa, CA 91941-6434.
- What is Darrell Broaddus's phone number?
- The practice phone number listed in the NPPES registry for Darrell Broaddus is (619) 668-0600.
- Is Darrell Broaddus's NPI active?
- Yes — Darrell Broaddus's NPI (1265616973) is active in the NPPES registry as of the last update on 2007-12-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.