Breakwater Center for Developmental and Behavioral Pediatrics

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

BREAKWATER CENTER FOR DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS

Practice address

494B Savannah Hwy
Charleston, SC 29407-7275

Phone

(843) 259-2722

NPI assigned

Jun 29, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Shawna McCafferty, MDNPI 1386135861

Title

Owner / Physician

Phone

(843) 708-0264

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shawna Jan McCafferty, MD

  • Pediatrics Physician
  • Charleston, SC
  • NPI 1386135861
  NPD Authorized official

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

{
    "created_epoch": "1719619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719619200000",
    "number": "1154166270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3019 ALLISON COVE DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294124971",
            "telephone_number": "843-708-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "494B SAVANNAH HWY",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077275",
            "telephone_number": "843-259-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAKWATER CENTER FOR DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-29",
        "last_updated": "2024-06-29",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "MCCAFFERTY",
        "authorized_official_first_name": "SHAWNA",
        "authorized_official_title_or_position": "OWNER / PHYSICIAN",
        "authorized_official_telephone_number": "843-708-0264",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Braunstein, M.D.
• Cody Braven
• Olga Brawman-Mintzer, MD
• Alyssa Marie Braxton, M.D.
• Devon Bray, CRNA
• Amy Lee Bredlau, M.D.
• Bailey Breedlove
• Daniel J Brees, LISW-CP
• Sarah Breevoort, MD/PHD
• Daroniesha Brianna Breeze, SW

• Adolescent and Children Mental Health Clinic/Center in Charleston, SC
• Providers in Charleston, SC by specialty
• Adolescent and Children Mental Health Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2024; 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.