NPIMap

Organization Active NPI

Breakthrough Developmental Services, LLC

  • Community/Behavioral Health Agency
  • Hyattsville, MD
National Provider Identifier
1033594916
Registry record updated Jul 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LBA076 Issued in MD
Legal business name
BREAKTHROUGH DEVELOPMENTAL SERVICES, LLC
Practice address
5416 16TH Ave
Hyattsville, MD 20782-3444
Phone
(855) 255-5270
Fax
(855) 513-1069
NPI assigned
Jul 21, 2015
Last updated
Jul 21, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Barbara Erby-YoungNPI 1356588362
Title
President
Phone
(855) 255-5270

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LBA076 MD Primary

Addresses

Primary practice location

5416 16TH Ave
Hyattsville, MD 20782-3444

Mailing address

5416 16TH Ave
Hyattsville, MD 20782-3444
Phone (855) 255-5270

Other identifiers 1

IdentifierTypeStateIssuer
1338048-00MedicaidMD

National Provider Directory

National Provider Directory

Locations

6495 New Hampshire Ave
#A307
Hyattsville, MD 20783
Phone (855) 255-5270

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437436800000",
    "number": "1033594916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5416 16TH AVE",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207823444",
            "telephone_number": "855-255-5270",
            "fax_number": "855-513-1069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5416 16TH AVE",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207823444",
            "telephone_number": "855-255-5270",
            "fax_number": "855-513-1069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAKTHROUGH DEVELOPMENTAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-21",
        "last_updated": "2015-07-21",
        "status": "A",
        "authorized_official_last_name": "ERBY-YOUNG",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "855-255-5270"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "LBA076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1338048-00",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.