IndividualActive
Dominique Broussard
NPI 1407431224 · Psychologist · San Francisco, CA
Dominique Broussard is a Psychologist provider in San Francisco, CA (NPI 1407431224).
Provider details
- NPI number
- 1407431224
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 32386 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
2130 Fulton St.
San Francisco, CA 94117
Phone: (510) 610-9599
Street-level locationGet directions
Mailing address
4096 Piedmont Ave # 191
Oakland, CA 94611-5221
Registry dates
- Enumerated
- 2021-03-12
- Last updated
- 2021-03-12
- Certified
- 2021-02-19
Frequently asked questions
- What is Dominique Broussard's NPI number?
- Dominique Broussard's National Provider Identifier (NPI) is 1407431224, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dominique Broussard's specialty?
- Dominique Broussard is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Dominique Broussard located?
- Dominique Broussard's practice location on file with NPPES is 2130 Fulton St., San Francisco, CA 94117.
- What is Dominique Broussard's phone number?
- The practice phone number listed in the NPPES registry for Dominique Broussard is (510) 610-9599.
- Is Dominique Broussard's NPI active?
- Yes — Dominique Broussard's NPI (1407431224) is active in the NPPES registry as of the last update on 2021-03-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.