Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Broadway Psychiatry LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1750907879

Broadway Psychiatry LLC is a Psychiatric/Mental Health Nurse Practitioner in Garland, Texas. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3960 Broadway Blvd Ste 232
Garland, TX 75043-2591
Phone: (469) 733-2090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1750907879
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Velile Nkolomi — Ceo · (469) 733-2090
NPI enumeratedJune 24, 2020
Last updated in NPPESJuly 11, 2020
Certification dateJuly 11, 2020
Mailing address2657 Johnson Ct, Forney, TX 75126-1696

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