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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1053645119

Michael D Broadwell, PSYD is an Addiction (Substance Use Disorder) Counselor in Rochester, Minnesota. Licensed in Minnesota. Registered with an NPI since 2009.

Licensed in
MN
In the registry since
2009
Specialties on file
4
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

3535 40th Ave NW Ste 210
Rochester, MN 55901-1769
Phone: (507) 516-0227
Fax: (507) 516-0228
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence LP6869 (MN)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Behavior Analyst Taxonomy 103K00000X
Psychologist Taxonomy 103T00000X

Record details

NPI number1053645119
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedSeptember 22, 2009
Last updated in NPPESDecember 12, 2022
Certification dateDecember 12, 2022
Mailing address3535 40th Ave Nw Ste 210, Rochester, MN 55901-1769

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