IndividualActive
Matthew Broudy, PHD
NPI 1649348145 · Clinical Psychologist · Lake Ridge, VA
Matthew Broudy, PHD is a Clinical Psychologist provider in Lake Ridge, VA (NPI 1649348145).
Provider details
- NPI number
- 1649348145
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- No
- License
- 0810003712 (VA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
2239f Tacketts Mill Drive
Lake Ridge, VA 22192
Phone: (703) 490-0336
Fax: (703) 490-4525
Street-level locationGet directions
Mailing address
2239f Tacketts Mill Drive
Lake Ridge, VA 22192
Registry dates
- Enumerated
- 2006-12-01
- Last updated
- 2007-07-08
Frequently asked questions
- What is Matthew Broudy's NPI number?
- Matthew Broudy's National Provider Identifier (NPI) is 1649348145, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Matthew Broudy's specialty?
- Matthew Broudy is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Matthew Broudy located?
- Matthew Broudy's practice location on file with NPPES is 2239f Tacketts Mill Drive, Lake Ridge, VA 22192.
- What is Matthew Broudy's phone number?
- The practice phone number listed in the NPPES registry for Matthew Broudy is (703) 490-0336.
- Is Matthew Broudy's NPI active?
- Yes — Matthew Broudy's NPI (1649348145) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.