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

Dr. Michael David Brodeur, PSYD

Individual provider Clinical Psychologist · NPI 1225375165

Dr. Michael David Brodeur, PSYD is a Clinical Psychologist in Pullman, Washington. Qualified in 2009, 17 years ago. Practices with Providence Behavioral Health Associates Inc, a 19-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
17
Licensed in
WA
In the registry since
2013
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

1815 NE Wilson Rd
Pullman, WA 99164-0001
Phone: (509) 335-4511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PY60297192 (WA)

Record details

NPI number1225375165
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedJanuary 11, 2013
Last updated in NPPESJanuary 11, 2013
Mailing address825 Palouse Vw, Pullman, WA 99163-5261

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Providence Behavioral Health Associates Inc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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