Breakthrough Behavioral of Texas, Inc.

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

BREAKTHROUGH BEHAVIORAL OF TEXAS, INC.

Practice address

908 Baines St
East Palo Alto, CA 94303-2524

Phone

(650) 793-4444

NPI assigned

Jun 12, 2013

Organization subpart

No

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

Authorized official

Name

Mark Goldenson

Title

Ceo

Phone

(650) 793-4444

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370995200000",
    "number": "1275971228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 BAINES ST",
            "city": "EAST PALO ALTO",
            "state": "CA",
            "postal_code": "943032524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 BAINES ST",
            "city": "EAST PALO ALTO",
            "state": "CA",
            "postal_code": "943032524",
            "telephone_number": "650-793-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAKTHROUGH BEHAVIORAL OF TEXAS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-12",
        "last_updated": "2013-06-12",
        "status": "A",
        "authorized_official_last_name": "GOLDENSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-793-4444"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Berry, M.D.
• Arturo Blanco Villegas
• Lear Blitzstein
• Nuvpreet Bola, RN
• India Gladyes Bradley, LMFT
• Chad Robbins Brodt, MD
• Lawrence Bruguera, M.D.
• Jose Miguel Cabrera
• California Ear Institute, Inc.
• California Sleep Institute

• Preferred Provider Organization in East Palo Alto, CA
• Providers in East Palo Alto, CA by specialty
• Preferred Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; 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.