Organization Active NPI

Breeze Mental Health PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Dublin, OH
National Provider Identifier
1164200465
Registry record updated Mar 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
BREEZE MENTAL HEALTH PLLC
Practice address
5626 Frantz Rd
Dublin, OH 43017-1559
Phone
(570) 539-7234
Fax
(570) 302-4238
NPI assigned
Sep 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2024

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

Authorized official

Name
Ms. Sarah Red, APRNNPI 1487390480
Title
Owner
Phone
(570) 539-7234

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

5626 Frantz Rd
Dublin, OH 43017-1559

Mailing address

305 Linden St FL 4
Scranton, PA 18503-1430
Phone (740) 422-9589

Other practice location 1

3154 Memorial Hwy Ste 100
Dallas, PA 18612-9203
Phone (570) 539-7234

Other names 1

  • Breeze Mental Health Doing business as

National Provider Directory

National Provider Directory

Locations

3154 Memorial Hwy
Ste 100
Dallas, PA 18612
Phone (570) 239-8052

305 Linden St
Fl 4
Scranton, PA 18503

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711238400000",
    "number": "1164200465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 LINDEN ST FL 4",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031430",
            "telephone_number": "740-422-9589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5626 FRANTZ RD",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430171559",
            "telephone_number": "570-539-7234",
            "fax_number": "570-302-4238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3154 Memorial Hwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "PA",
            "postal_code": "186129203",
            "country_code": "US",
            "telephone_number": "570-539-7234",
            "fax_number": "570-302-4238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BREEZE MENTAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-18",
        "last_updated": "2024-03-24",
        "certification_date": "2024-03-24",
        "status": "A",
        "authorized_official_last_name": "RED",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-539-7234",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Breeze Mental Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Breeze Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.