Breanna Marie Thornton

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301019782 Issued in MI

Practice address

1001 Military St
Port Huron, MI 48060-5416

Phone

(810) 985-5168

Fax

(800) 248-1568

NPI assigned

May 10, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Breanna Marie Dell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1306105440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9075 CHATWELL CLUB DR",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484233011",
            "telephone_number": "810-941-7478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 MILITARY ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480605416",
            "telephone_number": "810-985-5168",
            "fax_number": "800-248-1568"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27450 Schoenherr Rd",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "MI",
            "postal_code": "480886683",
            "country_code": "US",
            "telephone_number": "586-582-7550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THORNTON",
        "first_name": "BREANNA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-10",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301019782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIN #",
            "identifier": "382230613",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BREANNA",
            "last_name": "DELL",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kimberly Sue Thomas, PRC
• Robert P Thomas, DC
• Toni Lynn Thomas
• Kristen Marie Thompson, LMSW
• Joel Edward Thorne, RN
• Sara Dawn Thueme, FNP-C
• Thumb Physiatry PC
• Thumbcoast Transportation
• Lacey Timperley
• Lisa Tippit

• Clinical Psychologist in Port Huron, MI
• Providers in Port Huron, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; 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.