Breakwater Psychological Trauma & Wellness Group, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW9679 Issued in FL

Legal business name

BREAKWATER PSYCHOLOGICAL TRAUMA & WELLNESS GROUP, LLC

Practice address

6971 N Federal Hwy
Suite 301
Boca Raton, FL 33487-1656

Phone

(754) 444-6313

NPI assigned

Jun 13, 2016

Organization subpart

No

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

Authorized official

Name

Bart Plaskoff, M.ED.,MSW,EMDR,RCSWI

Title

Managing Member

Phone

(754) 444-6313

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1205286002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1198 HILLSBORO MILE",
            "address_2": "UNIT 316",
            "city": "HILLSBORO BEACH",
            "state": "FL",
            "postal_code": "330621530",
            "telephone_number": "754-444-6313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6971 N FEDERAL HWY",
            "address_2": "SUITE 301",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334871656",
            "telephone_number": "754-444-6313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAKWATER PSYCHOLOGICAL TRAUMA & WELLNESS GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-13",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "PLASKOFF",
        "authorized_official_first_name": "BART",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "754-444-6313",
        "authorized_official_credential": "M.ED.,MSW,EMDR,RCSWI"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW9679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariadna Bravo Sanchez
• Deborah Bray, ARNP
• Jonathan Alan Bray, PT, DPT, EDD, MS
• BRCH Women'S Institute for Health and Wellness, Inc.
• BRD Health LLC
• Jacob Bregler
• Avi Jonathan Bregman, PT
• Brehmer Pediatrics PA
• Juana Hilda Brehmer, M.D.
• Jeremy S Breit, MD

• Clinical Social Worker in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.