Organization Active NPI

Breakthrough Mental Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Felton, DE
National Provider Identifier
1396599734
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
BREAKTHROUGH MENTAL HEALTH LLC
Practice address
10278 S Dupont Hwy
Felton, DE 19943-5626
Phone
(302) 330-7727
Fax
(302) 330-8413
NPI assigned
Apr 12, 2024
Last updated
Apr 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Authorized official

Name
Barbara Jeanne Stanley, PMHNPNPI 1265691265
Title
Owner
Phone
(302) 423-0570

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

10278 S Dupont Hwy
Felton, DE 19943-5626

Mailing address

10278 S Dupont Hwy
Felton, DE 19943-5626
Phone (302) 330-7727

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240429003204 DE Part B Supplier - Clinic/Group Practice 3476993114 Receives reassigned benefits from 1 practitioner
Practice locations: Felton, DE

National Provider Directory

National Provider Directory

Locations

10278 S DuPont Hwy
Felton, DE 19943
Phone (302) 330-7727

Practitioners & affiliated clinicians

Practitioners 1

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": "1712880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712880000000",
    "number": "1396599734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10278 S DUPONT HWY",
            "city": "FELTON",
            "state": "DE",
            "postal_code": "199435626",
            "telephone_number": "302-330-7727",
            "fax_number": "302-330-8413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10278 S DUPONT HWY",
            "city": "FELTON",
            "state": "DE",
            "postal_code": "199435626",
            "telephone_number": "302-330-7727",
            "fax_number": "302-330-8413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAKTHROUGH MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-12",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "STANLEY",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "JEANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-423-0570",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Felton, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; 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.