NPIMap

Organization Active NPI

Breakthrough Therapeutics

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Palm Beach, FL
National Provider Identifier
1275292096
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
BREAKTHROUGH THERAPEUTICS
Practice address
7750 Okeechobee Blvd Ste 4-1032
West Palm Beach, FL 33411-2104
Phone
(561) 247-5550
NPI assigned
Dec 8, 2021
Last updated
May 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Authorized official

Name
Billine JourdanNPI 1124502125
Title
Clinical Psychologist
Phone
(617) 869-1208

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary
Adult Mental Health Clinic/Center 261QM0850X NU

Addresses

Primary practice location

7750 Okeechobee Blvd Ste 4-1032
West Palm Beach, FL 33411-2104

Mailing address

7750 Okeechobee Blvd Ste 4-1032
West Palm Beach, FL 33411-2104
Phone (561) 247-5550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230620000139 FL Part B Supplier - Clinic/Group Practice 6406214717 Receives reassigned benefits from 4 practitioners
Practice locations: Port Saint Lucie, FL

National Provider Directory

National Provider Directory
Tax ID family
Breakthrough Therapeutics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 5

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": "1638921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684368000000",
    "number": "1275292096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7750 OKEECHOBEE BLVD STE 4-1032",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334112104",
            "telephone_number": "561-247-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7750 OKEECHOBEE BLVD STE 4-1032",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334112104",
            "telephone_number": "561-247-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAKTHROUGH THERAPEUTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-08",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "JOURDAN",
        "authorized_official_first_name": "BILLINE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "617-869-1208"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.