Dominique Victoria Broadnax, PSYD
Clinical Psychologist · Boston, MA
Dominique Victoria Broadnax, PSYD is a clinical psychologist with a practice address in Boston, Massachusetts, and NPI 1679205074, issued on Jun 26, 2022. Check the license (Massachusetts PSY10001846, as entered in NPPES) with the Massachusetts board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Dominique Victoria Broadnax
- Credential
- PSYD
- Primary taxonomy
- Clinical Psychologist 103TC0700X
- License numbers
- PSY10001846 MA
PS02359 RI
Self-reported in NPPES; status is on the state search - Practice location
- 75 Fenwood RD, Boston, MA 02115
- Phone
- (617) 626-9300
- Enumerated
- Jun 26, 2022
- Record last updated
- Oct 21, 2025
- Medicare enrollment
- Enrolled (PECOS I20251016002048); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest clinical psychologist records → All 3,185 in Massachusetts → Look up another NPI →
Also registered at 75 Fenwood RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Ashley BrannPsychologist1881045284
- Alev CanseverClinical Social Worker1255178828
- Stephanie ChiodoClinical Social Worker1366105280
Verify Dominique Victoria Broadnax in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Massachusetts board licenses this profession
Search for license PSY10001846Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- The Commonwealth OF MassachusettsBoston, MA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Dominique Victoria Broadnax among 3,185 clinical psychologist records in Massachusetts
Dominique Victoria Broadnax, PSYD is one of 3,185 clinical psychologist records with a practice address in Massachusetts. 12% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2022, is newer than 95% of them.
- NPI issued2022 · 95% of these records are older, 3% newer
- In a Medicare fileYes · 12% of these records are
- In the CMS Doctors and Clinicians fileYes · 24% of these records are
- Graduated2024 · median 2000 among the 777 with a school on file
- Record last updated2025 · 71% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103TC0700X and a Massachusetts practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
509 clinical psychologist records list a practice address in Boston
They are 509 of the 41,865 NPPES records with a practice address in Boston, and 3,185 clinical psychologist records in Massachusetts.
All 3,185 in Massachusetts → Every provider in Boston → Clinical Psychologist nationwide →
The 8 clinical psychologist records with the nearest ZIP codes
- Janis Anderson, PH.D.Boston, MA 021151538230743
- Melvin Barton, PH.D.Boston, MA 021151700944774
- Katrina Boyer, PHDBoston, MA 021151578618005
- Elisa Bronfman, PHDBoston, MA 021151881749398
- Rachael Coakley, PH.D.Boston, MA 021151699823211
- Robert Edwards, PH.D.Boston, MA 021151093762536
- Abraham Feingold, PSY.D.Boston, MA 021151235248428
- Tina Lafiosca, PH.D.Boston, MA 021151699878520
Common questions
What is Dominique Victoria Broadnax, PSYD's NPI number?
Dominique Victoria Broadnax, PSYD's National Provider Identifier (NPI) is 1679205074, issued on Jun 26, 2022. An NPI identifies a provider in billing; it is not a license.
Where is Dominique Victoria Broadnax, PSYD located?
The NPPES record lists a practice address at 75 Fenwood RD, Boston, MA, 02115. Phone: (617) 626-9300. Providers update this record themselves, so call before visiting.
How can I verify Dominique Victoria Broadnax, PSYD's license?
NPPES lists Massachusetts license number PSY10001846, as entered by the provider. Search the Massachusetts board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.