Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053645119 Individual Practitioner Male Practitioner

Dr. Michael D Broadwell , PsyD

Psychologist • Rochester, MN

Professional Overview & Biography Verified Profile Summary

Dr. Michael Broadwell, PsyD is a registered healthcare professional specializing in Psychologist in Rochester, MN. Practice services are available at 3535 40TH AVE NW STE 210 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3535 40th Ave Nw Ste 210

Rochester, MN 559011769

Telephone 5075160227
Fax 5075160228

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Rochester, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.3 Yrs
State Avg: 22.6 Yrs
Regional Practice Density
69 Specialists

Practicing in Rochester, MN (1833 Statewide)

Telehealth Adoption Rate
15.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-12-12
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License MN LP6869

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

Definition to come...

Behavior Analyst

NUCC Taxonomy Code: 103K00000X

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Psychologist

NUCC Taxonomy Code: 103T00000X

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Kara Pederson , LGSW

Social Worker - Clinical

NPI 1083006589
Yee Lau

Counselor - Professional

NPI 1083415178
Kelley Gammell , LPCC

Counselor - Professional

NPI 1346061272

Licensed Professional Clinical Counselor

Chelsea Vang

Counselor - Mental Health

NPI 1346076023
Heather Bowen

Counselor - Professional

NPI 1518668375
Hannah Flanery , LP

Psychologist - Clinical

NPI 1588300453

Licensed Psychologist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location December 12, 2022

Registered at 3535 40TH AVE NW STE 210, ROCHESTER, MN 559011769 (Tel: 5075160227)

📍
Updated Business Mailing Address December 12, 2022

Registered at 3535 40TH AVE NW STE 210, ROCHESTER, MN 559011769 (Tel: 5075160227)

📍
Updated Business Mailing Address August 23, 2021

Registered at 550 KUNEHI ST, APT 206, KAPOLEI, HI 967072069 (Tel: 8086746641)

NPI Profile Active July 02, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location July 02, 2013

Registered at 2501 W 22ND ST, SIOUX FALLS, SD 571051305 (Tel: 6053363230)

📍
Updated Business Mailing Address July 02, 2013

Registered at 2405 COMSTOCK LN N, PLYMOUTH, MN 554472304 (Tel: 6126956815)

👤
Provider Name / Credentials Updated July 02, 2013

Recorded as MICHAEL BROADWELL, PSY.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2013

Counselor

🟢
Initial NPI Registration & Enumeration September 22, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053645119
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 22, 2009
Last Update: December 12, 2022
Sole Proprietor: No

Mailing Address

3535 40th Ave Nw Ste 210

Rochester, MN 559011769

Phone: 5075160227

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.